Provider Demographics
NPI:1043441561
Name:VALENTIN PAGAN, CARMEN DIANA (RN)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:DIANA
Last Name:VALENTIN PAGAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 CALLE PORTUGUES
Mailing Address - Street 2:ESTANCIAS DEL RIO
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-9786
Mailing Address - Country:US
Mailing Address - Phone:787-375-5884
Mailing Address - Fax:
Practice Address - Street 1:576 CALLE PORTUGUES
Practice Address - Street 2:ESTANCIAS DEL RIO
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660-9786
Practice Address - Country:US
Practice Address - Phone:787-375-5884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23795163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse