Healthcare Provider Details

I. General information

NPI: 1215295241
Provider Name (Legal Business Name): KATIA NATASHA MILLER PAGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2012
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE 63 #123-1
CAROLINA PR
00985
US

IV. Provider business mailing address

305 AVE LAURO PINERO UNIT 1231
CEIBA PR
00735-2872
US

V. Phone/Fax

Practice location:
  • Phone: 787-238-6916
  • Fax: 939-224-9184
Mailing address:
  • Phone: 787-238-6916
  • Fax: 939-224-9184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number18769
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number18769
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: