# CONSULTORIO DRA IDALIA PEDROZA LOPEZ LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** None, CONSULTORIO DRA IDALIA PEDROZA LOPEZ LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912684184
- **Authorized official:** DR. IDALIA PEDROZA LOPEZ MD (PRESIDENT OF THE ORGANIZATION)
- **Authorized official phone:** (787) 743-1699

## Contact information

- **Practice address:** 201 GAUTIER BENITEZ AVENUE, CONSOLIDATED MEDICAL PLAZA, SUITE 201, CAGUAS, PR 00725
- **Practice address phone:** (787) 743-1699
- **Practice address fax:** (787) 258-1517
- **Mailing address:** PO BOX 6735, CAGUAS, PR 00726-6735
- **Mailing address phone:** (787) 743-1699
- **Mailing address fax:** (787) 258-1517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2023
- **Last updated:** 06/29/2023