Provider Demographics
NPI:1891149373
Name:PAGAN ROSADO, ORLANDO L SR (RN)
Entity Type:Individual
Prefix:MR
First Name:ORLANDO
Middle Name:L
Last Name:PAGAN ROSADO
Suffix:SR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:R559 CARR 151 K6 H0
Mailing Address - Street 2:BO. CAONILLAS ARRIBA SECTOR DAJOS
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-9825
Mailing Address - Country:US
Mailing Address - Phone:787-299-8844
Mailing Address - Fax:
Practice Address - Street 1:R559 CARR 151 K6 H0
Practice Address - Street 2:BO. CAONILLAS ARRIBA SECTOR DAJOS
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766-9825
Practice Address - Country:US
Practice Address - Phone:787-299-8844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR75855163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse