Active NPIIndividual providerSole proprietor

Mr. Ricardo A San Pedro, CRNA

Nurse Anesthetist, Certified Registered in Indianapolis, Indiana

NPI Number1447247671
Practice location
1701 N Senate Blvd, Indianapolis, IN 46202-1239
Fax
317-577-9503
Last updated
December 26, 2024

Ricardo Aluague San Pedro is a Nurse Anesthetist, Certified Registered based in Indianapolis, IN. Ricardo Aluague San Pedro practices in Indianapolis, IN and has the professional credentials of CRNA. The NPI Number for Ricardo Aluague San Pedro is 1447247671 and holds a License No. R89933 (SC). The current practice location address for Ricardo Aluague San Pedro is 1701 N Senate Blvd, Indianapolis, IN 46202-1239 and can be reached out via phone at 317-577-4200 and via fax at 317-577-9503.

Provider Profile Details

NPI Number
1447247671
Provider Name
Ricardo Aluague San Pedro
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
1701 N Senate Blvd, Indianapolis, IN 46202-1239
Phone Number
317-577-4200
Fax Number
317-577-9503
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2005
Last Update Date
December 26, 2024
Certification Date
December 26, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
State
Indiana
Zip
46202-1239
Phone Number
317-577-4200
Fax Number
317-577-9503
Indianapolis, IN 46202Get directions →

Provider Business Mailing Address Details

Address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
City
Indianapolis
State
IN
Zip
46219-4959

License Information

License Number (1)
R89933
License State (1)
SC
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (2)
1730A
License State (2)
SC
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (3)
RNA213015
License State (3)
ME
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X

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 Mr. Ricardo A San Pedro, CRNA?

The NPI number of Mr. Ricardo A San Pedro, CRNA is 1447247671. It was assigned on October 3, 2005 and is currently active in the NPPES registry.

What is the specialty of Mr. Ricardo A San Pedro, CRNA?

Mr. Ricardo A San Pedro, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in SC under license number R89933.

Where does Mr. Ricardo A San Pedro, CRNA practice?

The practice location is 1701 N Senate Blvd, Indianapolis, IN 46202-1239. The office can be reached at 317-577-4200 (phone) or 317-577-9503 (fax).

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 1447247671 directly on the NPPES registry website.

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