Provider Demographics
NPI:1578796769
Name:PAGAN, ANGEL GABRIEL (MD)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:GABRIEL
Last Name:PAGAN
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:UNIV OF P R MEDICAL SCIENCES CAMPUS MAIN
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY 9TH FLOOR OFFICE A-994
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00935-0001
Mailing Address - Country:US
Mailing Address - Phone:787-758-2525
Mailing Address - Fax:
Practice Address - Street 1:UNIV OF P R MEDICAL SCIENCES CAMPUS
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY 9TH FLOOR OFFICE, OFFICE A-994
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-0001
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2014-02-22
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR185492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry