Healthcare Provider Details
I. General information
NPI: 1841630472
Provider Name (Legal Business Name): HECTOR FRANCISCO CASIANO PAGAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/27/2013
Last Update Date: 01/06/2022
Certification Date: 01/03/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
URB CARR 129 KM 1.1 500 AVE SAN LUIS STE 101
ARECIBO PR
00612
US
IV. Provider business mailing address
PO BOX 659
ARECIBO PR
00613-0659
US
V. Phone/Fax
- Phone: 787-650-7272
- Fax: 787-650-7255
- Phone: 787-650-7272
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | MD460343 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 25MA10553900 |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | 22200 |
| License Number State | PR |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | 25MA10553900 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: