| Luisana Pagan | |
|
Ave Ramon L Rivera Za-20 Bayamon PR 00961 | |
| (787) 787-7876 | |
| Not Available |
| Full Name | Luisana Pagan |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | Ave Ramon L Rivera Za-20, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Luisana Sarai Pagan (PRESIDENT) |
| Authorized Official Contact | 7875195412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luisana Pagan 675 Sc Bustamante #54 San Juan PR 00918 Ph: (787) 519-5412 | Luisana Pagan Ave Ramon L Rivera Za-20 Bayamon PR 00961 Ph: (787) 787-7876 |
| NPI Number | 1609650324 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609650324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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