Pagan, Luis Raimundo
Pagan, Luis Raimundo is an sole proprietor health care provider with primary practice located at 7100 W 20Th Ave Suite G-176, Hialeah FL 33016-1897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Pagan, Luis Raimundo can be contacted via phone (305) 826-3366.Contact Information
Primary practice address
7100 W 20Th Ave Suite G-176
Hialeah FL 33016-1897
Phone: (305) 826-3366
Fax: (305) 826-7973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ME00033362 | Florida |
Profile Details
| NPI number | 1104849686 |
|---|---|
| LBN Legal business name | Pagan, Luis Raimundo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 15th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104849686 | NPPES |
| Florida | MEDICAID | 042852300 |
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