Healthcare Provider Details

I. General information

NPI: 1447219712
Provider Name (Legal Business Name): ABIGAIL MATOS-PAGAN ANPC, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF PUERTO RICO MAYAGUEZ CARR #2 - DEPARTAMENTO DE ENFERMERIA
MAYAGUEZ PR
00680
US

IV. Provider business mailing address

66 CALLE ALHAMBRA SULTANA PARK
MAYAGUEZ PR
00680-1401
US

V. Phone/Fax

Practice location:
  • Phone: 787-265-3842
  • Fax:
Mailing address:
  • Phone: 787-464-3624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number460612-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF301791-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: