Individual
DR. PEDRO RODRIGO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
622 W 168TH ST, PH-14 CENTER, NEW YORK, NY 10032-3720
(212) 305-0914
(212) 305-4343
Mailing address
622 W 168TH ST FL 14, NEW YORK, NY 10032-3720
(212) 305-0914
(212) 305-4343
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
003017
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03052655
—
NY
Enumeration date
02/13/2008
Last updated
04/30/2018
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