Provider Demographics
NPI:1750577268
Name:PAGAN-MORALES, VELMA I (MD)
Entity type:Individual
Prefix:DR
First Name:VELMA
Middle Name:I
Last Name:PAGAN-MORALES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:C19 CALLE ISABEL LA CATOLICA
Mailing Address - Street 2:MANSIONES REALES
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5268
Mailing Address - Country:US
Mailing Address - Phone:787-564-2966
Mailing Address - Fax:787-789-1796
Practice Address - Street 1:C19 CALLE ISABEL LA CATOLICA
Practice Address - Street 2:MANSIONES REALES
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5268
Practice Address - Country:US
Practice Address - Phone:787-564-2966
Practice Address - Fax:787-789-1796
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR5990208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice