Provider Demographics
NPI:1720428287
Name:PAGAN, ZAHIRA JANISSE (MSW)
Entity type:Individual
Prefix:
First Name:ZAHIRA
Middle Name:JANISSE
Last Name:PAGAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 9783
Mailing Address - Street 2:CARR. 156 INT.
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-8537
Mailing Address - Country:US
Mailing Address - Phone:787-516-1646
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 9783
Practice Address - Street 2:BO. PALO HINCADO
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794-8537
Practice Address - Country:US
Practice Address - Phone:787-516-1646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR76751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical