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Individual

BRYAN LESLIE PAGAN RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1050 AVE LOS CORAZONES STE 2, MAYAGUEZ, PR 00680-7041
(787) 265-5334
(787) 833-6640
Mailing address
PO BOX 1642, SAN GERMAN, PR 00683-1642
(787) 379-2110

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
19262
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19262
MEDICAL LICENSE
PR
Enumeration date
04/08/2016
Last updated
07/08/2019
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