MEDICARE: MRS. MARIBEL PAGAN P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1070	PR

General Provider Information

NPI Number	:	1326039298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIBEL PAGAN P.T.

Provider Business Mailing Address
First Line	:	URB. PEDREGALES
Second Line	:	180 CALLE GRANITO
City	:	RIO GRANDE
State	:	PR
Zip	:	00745
Country	:	US
Telephone Number	:	787-538-1340
Fax Number	:	787-887-1586

Provider Business Practice Location Address
First Line	:	URB. PEDREGALES
Second Line	:	180 CALLE GRANITO
City	:	RIO GRANDE
State	:	PR
Zip	:	00745
Country	:	US
Telephone Number	:	787-538-1340
Fax Number	:	787-887-1586

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	07/21/2022

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