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Individual

DR. PEDRO H IBARRA-PEROCIER

Active
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Individual

DR. PEDRO H IBARRA-PEROCIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14413
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100284W
MEDICARE Y MUCHO MAS
PR
01
—
1326066796
I.H.S. WAGNER
SD
01
—
3258
PREFERRED MEDICARE CHOICE
PR
01
—
A468
FIRST MEDICAL
PR
Enumeration date
12/01/2005
Last updated
10/24/2011
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