Active NPIIndividual providerSole proprietor

Dr. Wallace Pagan, MD

General Practice in San German, Puerto Rico

NPI Number1881629731
Practice location
35 Urb San Ramon, San German, PR 00683-2758
Fax
787-254-0005
Last updated
July 8, 2007

Wallace Pagan is a General Practice based in San German, PR. Wallace Pagan practices in San German, PR and has the professional credentials of MD. The NPI Number for Wallace Pagan is 1881629731 and holds a License No. 12739 (PR). The current practice location address for Wallace Pagan is 35 Urb San Ramon, San German, PR 00683-2758 and can be reached out via phone at 787-892-0048 and via fax at 787-254-0005.

Provider Profile Details

NPI Number
1881629731
Provider Name
Wallace Pagan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
35 Urb San Ramon, San German, PR 00683-2758
Phone Number
787-892-0048
Fax Number
787-254-0005
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 11, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Urb San Ramon
San German, PR 00683-2758
Zip
00683-2758
Phone Number
787-892-0048
Fax Number
787-254-0005
San German, PR 00683Get directions →

Provider Business Mailing Address Details

Address
35 Urb San Ramon
San German, PR 00683-4604
City
San German
State
PR
Zip
00683-4604
Phone Number
787-892-0048
Fax Number
787-254-0005

License Information

License Number
12739
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Wallace Pagan, MD?

The NPI number of Dr. Wallace Pagan, MD is 1881629731. It was assigned on July 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Wallace Pagan, MD?

Dr. Wallace Pagan, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 12739.

Where does Dr. Wallace Pagan, MD practice?

The practice location is 35 Urb San Ramon, San German, PR 00683-2758. The office can be reached at 787-892-0048 (phone) or 787-254-0005 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881629731 directly on the NPPES registry website.

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