Dr. Isaac R Wagner , MD
General Practice • Fajardo, PR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Isaac Wagner has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Isaac Wagner, MD was a registered General Practice practicing in Fajardo, PR. Throughout an active medical career spanning 13 years, Dr. Wagner provided care at the practice location at HC 67 BOX 17775 until profile deactivation on 2020-05-26.
Practice Location & Contact Primary Location
Hc 67 Box 17775
Fajardo, PR 007389701
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Fajardo, PR
Practicing in Fajardo, PR (4449 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 26, 2020
NPI status registered as active in NPPES database
Registered at HC 67 BOX 17775, FAJARDO, PR 007389701 (Tel: 7878634904)
Registered at HC 67 BOX 17775, FAJARDO, PR 007389701 (Tel: 7878634904)
Recorded as ISAAC WAGNER, M.D.
General Practice (License #5316 in PR)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
Hc 67 Box 17775
Fajardo, PR 007389701
Phone: 7878634904
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