Provider Demographics
NPI:1891805420
Name:PAGAN, ANNETTE L (MD)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:L
Last Name:PAGAN
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:PO BOX 365067
Mailing Address - Street 2:UPR MEDICAL SCIENCE CAMPUS DEPT OF PSYCHIATRY
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5067
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:787-766-0940
Practice Address - Street 1:UPR MEDICAL SCIENCE CAMPUS
Practice Address - Street 2:DEPT OF PSYCHIATRY
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-765-4047
Practice Address - Fax:787-766-0940
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR66602084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry