Active NPIIndividual provider

Carlos R Pedraza Gonzalez, MD

General Practice in Aguadilla, Puerto Rico

NPI Number1164918223
Practice location
Carr 2 Km 141.1 Ave Severiano Cuevas, Aguadilla, PR 00603
Fax
—
Last updated
December 18, 2019

Carlos Ronald Pedraza Gonzalez is a General Practice based in Aguadilla, PR. Carlos Ronald Pedraza Gonzalez practices in Aguadilla, PR and has the professional credentials of MD. The NPI Number for Carlos Ronald Pedraza Gonzalez is 1164918223 and holds a License No. 21590 (PR). The current practice location address for Carlos Ronald Pedraza Gonzalez is Carr 2 Km 141.1 Ave Severiano Cuevas, Aguadilla, PR 00603 and can be reached out via phone at 787-658-0200.

Provider Profile Details

NPI Number
1164918223
Provider Name
Carlos Ronald Pedraza Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Carr 2 Km 141.1 Ave Severiano Cuevas, Aguadilla, PR 00603
Phone Number
787-658-0200
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Provider Enumeration Date
July 2, 2018
Last Update Date
December 18, 2019
Certification Date
December 18, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr 2 Km 141.1 Ave Severiano Cuevas
Aguadilla, PR 00603
Zip
00603
Phone Number
787-658-0200
Aguadilla, PR 00603Get directions →

Provider Business Mailing Address Details

Address
Po Box 2304
Moca, PR 00676-2304
City
Moca
State
PR
Zip
00676-2304
Phone Number
787-415-3408

License Information

License Number (2)
21590
License State (2)
PR
Taxonomy (2)
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carlos R Pedraza Gonzalez, MD?

The NPI number of Carlos R Pedraza Gonzalez, MD is 1164918223. It was assigned on July 2, 2018 and is currently active in the NPPES registry.

What is the specialty of Carlos R Pedraza Gonzalez, MD?

Carlos R Pedraza Gonzalez, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 21590.

Where does Carlos R Pedraza Gonzalez, MD practice?

The practice location is Carr 2 Km 141.1 Ave Severiano Cuevas, Aguadilla, PR 00603. The office can be reached at 787-658-0200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164918223 directly on the NPPES registry website.

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