Provider Demographics
NPI:1063472314
Name:PAGAN SILVA, RITA MARIA (OD)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:MARIA
Last Name:PAGAN SILVA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:590 CALLE WITO MORALES
Mailing Address - Street 2:URB ESTANCIAS DEL GULF
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-0533
Mailing Address - Country:US
Mailing Address - Phone:787-647-0227
Mailing Address - Fax:
Practice Address - Street 1:590 CALLE WITO MORALES
Practice Address - Street 2:URB ESTANCIAS DEL GULF
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730
Practice Address - Country:US
Practice Address - Phone:787-647-0227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR483152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist