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General NPI Number Information
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NPI Number | 1740847748
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Entity Type | Individual
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Provider Name | LAURA CRISTINA PAGAN PAGAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/24/2019
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 3 AVE 65 INFANTERIA 8.
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-757-1800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6295
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City | CAGUAS
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State | PR
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Zip | 00726-6295
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Country | US
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Telephone |
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Fax | 407-987-2426
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22910
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 22910
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License Number State | PR
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