Provider Demographics
NPI:1396016044
Name:PAGAN, JUAN OSVALDO (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:OSVALDO
Last Name:PAGAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:759 NW 22ND AVE
Mailing Address - Street 2:201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3365
Mailing Address - Country:US
Mailing Address - Phone:305-541-5245
Mailing Address - Fax:305-541-5246
Practice Address - Street 1:9299 SW 152ND ST
Practice Address - Street 2:201
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1737
Practice Address - Country:US
Practice Address - Phone:305-233-0137
Practice Address - Fax:305-252-8160
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-25
Last Update Date:2017-01-31
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Provider Licenses
StateLicense IDTaxonomies
FL153322084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry