Individual
MRS. SHIRLEY PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ST JOSE C BARBOSA #62, SALINAS, PR 00751
(787) 824-5634
Mailing address
PO BOX 328, SANTA ISABEL, PR 00757-0328
(787) 824-1555
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11485
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11485
STATE MEDICAL LICENSE
PR
01
—
DM11141-9
STATE LICENSE
PR
Enumeration date
01/31/2007
Last updated
03/07/2023
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