Provider Demographics
NPI:1841335791
Name:OCASIO-PANTOJA, ANA I (MD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:I
Last Name:OCASIO-PANTOJA
Suffix:
Gender:F
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:CALLE 22 MM-17
Mailing Address - Street 2:JARDINES DE CAPARRA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-579-1856
Mailing Address - Fax:
Practice Address - Street 1:CALLE 22 JARDINES DE CAPARRA
Practice Address - Street 2:MM-17
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-579-1856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14061208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice