Individual
JAIME ALBERTO PEDRAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
CALLE1 HH1 RIVERVIEW, BAYAMON, PR 00962-6070
(787) 275-0605
Mailing address
37 CALLE MUNOZ RIVERA, BARRANQUITAS, PR 00794-1602
(787) 450-6599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2063
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041784
TRIPLE S
PR
01
—
1033143102
MCS LIFE
PR
01
—
6954
FIRST MEDICAL
PR
01
—
7940004
HUMANA
PR
01
—
D00103
PLAN DE SALUD HOSPITAL ME
PR
Enumeration date
07/11/2006
Last updated
09/08/2020
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