Provider Demographics
NPI:1962383174
Name:BORRERO PAGAN, ISAAC SR (RN)
Entity type:Individual
Prefix:MR
First Name:ISAAC
Middle Name:
Last Name:BORRERO PAGAN
Suffix:SR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3104 CALLE RIO MINILLAS
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-9110
Mailing Address - Country:US
Mailing Address - Phone:787-615-8887
Mailing Address - Fax:
Practice Address - Street 1:3104 CALLE RIO MINILLAS
Practice Address - Street 2:
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-9110
Practice Address - Country:US
Practice Address - Phone:787-615-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR91584163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse