Provider Demographics
NPI:1447219712
Name:MATOS-PAGAN, ABIGAIL (ANPC, DNP)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:
Last Name:MATOS-PAGAN
Suffix:
Gender:F
Credentials:ANPC, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 CALLE ALHAMBRA
Mailing Address - Street 2:SULTANA PARK
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-1401
Mailing Address - Country:US
Mailing Address - Phone:787-464-3624
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF PUERTO RICO MAYAGUEZ
Practice Address - Street 2:CARR #2 - DEPARTAMENTO DE ENFERMERIA
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-265-3842
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY460612-1163WC0200X
NYF301791-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health