Provider Demographics
NPI:1588627137
Name:PAISAN GALBAN, ADA G (MD)
Entity Type:Individual
Prefix:MRS
First Name:ADA
Middle Name:G
Last Name:PAISAN GALBAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 362352
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-2352
Mailing Address - Country:US
Mailing Address - Phone:787-752-6505
Mailing Address - Fax:787-752-6505
Practice Address - Street 1:AVE MONSERRATE BH 12
Practice Address - Street 2:VALLE ARRIBA HEIGHTS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-752-6505
Practice Address - Fax:787-752-6505
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2018-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR14387208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
897015382OtherMAPFRE
9492OtherINTERNATIONAL MEDICAL CAR
500253EOtherMMM
100470OtherCRUZ AZUL DE PR
3493OtherAMERICAN HEALTH
21075PAOtherSSS
9830022OtherHUMANA
PG4408OtherPAN AMERICAN LIFE
11914387MGOtherGLOBAL HEALTH
201345OtherPREFERRED HEALTH
H75678Medicare UPIN
11914387MGOtherGLOBAL HEALTH
21075PAOtherSSS