Healthcare Provider Details

I. General information

NPI: 1265896732
Provider Name (Legal Business Name): HENDRICK PAGAN-TORRES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 AVE TITO CASTRO SUITE 719 TORRE MEDICA SAN LUCAS
PONCE PR
00716-4722
US

IV. Provider business mailing address

381 AVE FELISA RINCON DE GAUTIER CONDOMINIO PASEOMONTE APT 1507
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-401-9940
  • Fax:
Mailing address:
  • Phone: 787-401-9940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License Number19760
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number19760
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: