Provider Demographics
NPI:1083689103
Name:SCORZA, PEDRO C (MD)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:C
Last Name:SCORZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2074
Mailing Address - Street 2:
Mailing Address - City:CEIBA
Mailing Address - State:PR
Mailing Address - Zip Code:00735-2074
Mailing Address - Country:US
Mailing Address - Phone:787-860-0323
Mailing Address - Fax:787-860-0323
Practice Address - Street 1:205 CELIS AGUILERA ST
Practice Address - Street 2:SUITE 103
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-860-0323
Practice Address - Fax:787-860-0323
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9252207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0080848Medicare PIN
PRD38367Medicare UPIN