Provider Demographics
NPI:1023255056
Name:ROGNONI, PAULINA AMELIA (MD, FACD)
Entity type:Individual
Prefix:MISS
First Name:PAULINA
Middle Name:AMELIA
Last Name:ROGNONI
Suffix:
Gender:F
Credentials:MD, FACD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 0833-00097
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:PANAMA
Mailing Address - Zip Code:0833 00097
Mailing Address - Country:PA
Mailing Address - Phone:507-305-6300
Mailing Address - Fax:507-261-9966
Practice Address - Street 1:CLINICA HOSPITAL SAN FERNANDO CONSULTORIO 53 Y 513
Practice Address - Street 2:VIA ESPANA LAS SABANAS PANAMA CITY
Practice Address - City:PAMANA CITY
Practice Address - State:PANAMA
Practice Address - Zip Code:0834 00363
Practice Address - Country:PA
Practice Address - Phone:507-261-9966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD013466207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine