Most Relevant Information
Provider Data
| NPI Number: | 1003471707 |
| Provider Name: | SOHEMI PAGAN LEON |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/08/2019 |
| Last Updated: | 07/12/2024 |
Provider Practice Location
PHSU 388 ZONA INDUSTRIAL REPARADA 2
PONCE
PR
00716
Practice Location Phone/Fax
| Phone: | 7878402575 |
| Fax: |
Provider Mailing Location
6201 GREENLEIGH AVE FL 2
MIDDLE RIVER
MD
212202004
Provider Mailing Phone/Fax
| Phone: | 4109332704 |
| Fax: |