Provider Demographics
NPI:1437355328
Name:CARDONA, PEDRO JUAN (MD)
Entity Type:Individual
Prefix:
First Name:PEDRO
Middle Name:JUAN
Last Name:CARDONA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 GRANT ST
Mailing Address - Street 2:US STEEL TOWER, FLOOR 41
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-2702
Mailing Address - Country:US
Mailing Address - Phone:412-255-4203
Mailing Address - Fax:412-255-4260
Practice Address - Street 1:600 GRANT ST
Practice Address - Street 2:US STEEL TOWER, FLOOR 41
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-2702
Practice Address - Country:US
Practice Address - Phone:412-255-4203
Practice Address - Fax:412-255-4260
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD420495207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEE70207Medicare UPIN