Provider Demographics
NPI:1265896732
Name:PAGAN-TORRES, HENDRICK
Entity type:Individual
Prefix:
First Name:HENDRICK
Middle Name:
Last Name:PAGAN-TORRES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 AVE FELISA RINCON DE GAUTIER
Mailing Address - Street 2:CONDOMINIO PASEOMONTE APT 1507
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-842-0170
Mailing Address - Fax:
Practice Address - Street 1:14 CALLE PERAL N EDIFICIO LA PALMA 1C
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4872
Practice Address - Country:US
Practice Address - Phone:787-265-8152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19760207RG0100X, 207RT0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
No207RT0003XAllopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology