Provider Demographics
NPI:1073648507
Name:OCASIO, MAGALI NAHIR I (MD)
Entity Type:Individual
Prefix:DR
First Name:MAGALI
Middle Name:NAHIR
Last Name:OCASIO
Suffix:I
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:BAJADERO
Mailing Address - State:PR
Mailing Address - Zip Code:00616-0277
Mailing Address - Country:US
Mailing Address - Phone:787-816-1179
Mailing Address - Fax:
Practice Address - Street 1:AVE 638 KM. 5.7
Practice Address - Street 2:MIRAFLORES
Practice Address - City:BAJADERO
Practice Address - State:PR
Practice Address - Zip Code:00616-0277
Practice Address - Country:US
Practice Address - Phone:787-816-1179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10850207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF58107Medicare UPIN