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NPI Code Detail

MEDICARE: DR. ALEXANDRA C BUJOSA PAGAN MD

MEDICARE: DR. ALEXANDRA C BUJOSA PAGAN MD
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
1207R00000XInternal Medicine Physician351711LA

General Provider Information

NPI Number : 1831894690
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDRA C BUJOSA PAGAN MD
Provider Business Mailing Address
First Line : 1001 GAUSE BLVD
Second Line :
City : SLIDELL
State : LA
Zip : 70458-2939
Country : US
Telephone Number : 985-280-2200
Fax Number :
Provider Business Practice Location Address
First Line : 1001 GAUSE BLVD
Second Line :
City : SLIDELL
State : LA
Zip : 70458-2939
Country : US
Telephone Number : 985-280-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 07/01/2026

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