Provider Demographics
NPI:1386899839
Name:GONZALEZ PAGAN, JAHZEL MICHELLE (MD)
Entity type:Individual
Prefix:MRS
First Name:JAHZEL
Middle Name:MICHELLE
Last Name:GONZALEZ PAGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:186 CARRETERA 2 ACQUALINA CONDOMINIUM
Mailing Address - Street 2:APT 503
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-381-5452
Mailing Address - Fax:
Practice Address - Street 1:UPR MEDICAL SCIENCE CAMPUS
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-5067
Practice Address - Country:US
Practice Address - Phone:787-756-4020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR181252080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine