Provider Demographics
NPI:1780603373
Name:PAGAN SAEZ, HERIBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:HERIBERTO
Middle Name:
Last Name:PAGAN SAEZ
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:RADIOLOGIA RCM
Mailing Address - Street 2:PO BOX 29134
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0134
Mailing Address - Country:US
Mailing Address - Phone:787-777-3535
Mailing Address - Fax:
Practice Address - Street 1:# 715 AVE. PONCE DE LEON PDA. 37 Y 1/2
Practice Address - Street 2:HOSPITAL AUXILIO MUTUO
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918-4233
Practice Address - Country:US
Practice Address - Phone:787-758-2000
Practice Address - Fax:787-294-0527
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23522085R0202X, 2085N0700X, 2085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR005-3050OtherTRIPLE S
PR005-3050OtherTRIPLE S