Individual
JAYDEE LIZ PAGAN-PALLENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
759 AVE AVELINO VICENTE, SAN JUAN, PR 00909-2538
(787) 303-9662
Mailing address
PO BOX 9744, SAN JUAN, PR 00908-0744
(787) 303-9662
(787) 303-8666
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6107
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103T00000X
PSYCHOLOGIST
PR
Enumeration date
06/27/2018
Last updated
06/27/2018
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