Provider Demographics
NPI:1114311131
Name:ISAAC, HIRAM EFRAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HIRAM
Middle Name:EFRAIN
Last Name:ISAAC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 CALLE CELIS AGUILERA N
Mailing Address - Street 2:
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-4811
Mailing Address - Country:US
Mailing Address - Phone:939-465-1196
Mailing Address - Fax:
Practice Address - Street 1:54 CALLE CELIS AGUILERA N
Practice Address - Street 2:
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738-4811
Practice Address - Country:US
Practice Address - Phone:939-465-1196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-27
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036159131207L00000X, 207LP2900X
PR22597207L00000X, 207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine