Healthcare Provider Details

I. General information

NPI: 1922135029
Provider Name (Legal Business Name): URBANO PAGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE LAS AMERICAS EDIFICIO PORRATA PILA SUITE 301
PONCE PR
00717-2115
US

IV. Provider business mailing address

PO BOX 9069
PONCE PR
00732-9069
US

V. Phone/Fax

Practice location:
  • Phone: 787-843-3538
  • Fax: 787-841-3908
Mailing address:
  • Phone: 787-844-6580
  • Fax: 787-844-6580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5034
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number5034
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: