Provider Demographics
NPI:1457312043
Name:ALVAREZ-PAGAN, URSELIO (MD)
Entity Type:Individual
Prefix:
First Name:URSELIO
Middle Name:
Last Name:ALVAREZ-PAGAN
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:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0031
Mailing Address - Country:US
Mailing Address - Phone:787-630-7037
Mailing Address - Fax:787-834-7627
Practice Address - Street 1:CALLE PERAL ESQ. DE DIEGO
Practice Address - Street 2:EDIF. LA PALMA OFICINA 2C
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-630-7037
Practice Address - Fax:787-834-7627
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7650207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF02310Medicare UPIN