Provider Demographics
NPI:1336863620
Name:PAGAN, MARIA DEL ROSARIO (PSYCHOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DEL ROSARIO
Last Name:PAGAN
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Gender:F
Credentials:PSYCHOLOGIST
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Mailing Address - Street 1:PORTALES DE SAN JUAN 1300 CALLE 7
Mailing Address - Street 2:APARTMENTO L 194
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-4584
Mailing Address - Country:US
Mailing Address - Phone:787-448-8486
Mailing Address - Fax:
Practice Address - Street 1:CALLE PERSEO 501
Practice Address - Street 2:COND CENTRO DE ATAMIRA SUITE 203
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-675-0663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
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Provider Licenses
StateLicense IDTaxonomies
PR7407103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty