Provider Demographics
NPI:1316814874
Name:PAGAN MOLINA, STEPHANIE MARIE (ENFERMERA BSN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MARIE
Last Name:PAGAN MOLINA
Suffix:
Gender:F
Credentials:ENFERMERA BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 16230
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-9386
Mailing Address - Country:US
Mailing Address - Phone:939-493-4040
Mailing Address - Fax:
Practice Address - Street 1:HC 2 BOX 16230
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-9386
Practice Address - Country:US
Practice Address - Phone:939-493-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-20
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR104525163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy