Individual
PEDRO ANTONIO PEREZ CARTAGENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30S CAYUGA RD, WILLIAMSVILLE, NY 14221-5443
(716) 632-1088
Mailing address
1201 MICHIGAN AVE, SUITE 70, LOGANSPORT, IN 46947-1580
(574) 753-1730
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01064949A
IN
207L00000X
Anesthesiology Physician
13604
ND
207L00000X
Anesthesiology Physician
Primary
252166
NY
208VP0000X
Pain Medicine Physician
01064949A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001046163
ANTHEM
IN
05
—
201374680
—
IN
01
—
P01693410
RAILROAD MEDICARE
IN
Enumeration date
03/22/2009
Last updated
12/04/2024
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