Provider Demographics
NPI:1619939337
Name:PAGAN, HECTOR C (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:C
Last Name: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 1:2601 BARNES DR
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-9002
Mailing Address - Country:US
Mailing Address - Phone:904-233-4799
Mailing Address - Fax:724-774-1998
Practice Address - Street 1:3153 BRODHEAD RD
Practice Address - Street 2:SUITE B
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-1370
Practice Address - Country:US
Practice Address - Phone:724-774-0327
Practice Address - Fax:724-774-1998
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033197E174400000X
FLME50071174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA130710OtherBC/BS PROVIDER NUMBER
PAB41830Medicare UPIN
PA438329LX1Medicare PIN