Provider Demographics
NPI:1922135029
Name:PAGAN, URBANO (MD)
Entity Type:Individual
Prefix:
First Name:URBANO
Middle Name:
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:PO BOX 9069
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-9069
Mailing Address - Country:US
Mailing Address - Phone:787-844-6580
Mailing Address - Fax:787-844-6580
Practice Address - Street 1:AVE LAS AMERICAS
Practice Address - Street 2:EDIFICIO PORRATA PILA SUITE 301
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2115
Practice Address - Country:US
Practice Address - Phone:787-843-3538
Practice Address - Fax:787-841-3908
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5034208000000X, 2080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology