Individual
JUAN R PAREDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 261-1171
(337) 261-1173
Mailing address
PO BOX 52483, LAFAYETTE, LA 70505-2483
(337) 261-1171
(337) 261-1173
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L12775R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1543306
—
LA
Enumeration date
09/16/2006
Last updated
08/16/2023
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