MEDICARE: MISS PAULINA AMELIA ROGNONI MD, FACD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD013466	LA

General Provider Information

NPI Number	:	1023255056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS PAULINA AMELIA ROGNONI MD, FACD

Provider Business Mailing Address
First Line	:	P.O. BOX 0833-00097
Second Line	:
City	:	PANAMA CITY
State	:	PANAMA
Zip	:	0833 00097
Country	:	PA
Telephone Number	:	507-305-6300
Fax Number	:	507-261-9966

Provider Business Practice Location Address
First Line	:	CLINICA HOSPITAL SAN FERNANDO CONSULTORIO 53 Y 513
Second Line	:	VIA ESPANA LAS SABANAS PANAMA CITY
City	:	PAMANA CITY
State	:	PANAMA
Zip	:	0834 00363
Country	:	PA
Telephone Number	:	507-261-9966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2009
Last Update Date	:	01/13/2009

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