Provider Demographics
NPI:1659770352
Name:PEDROZA, ALEXANDRA M (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:M
Last Name:PEDROZA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:#2 CALLE HORTENCIA
Mailing Address - Street 2:COND. SKY TOWER II #5F
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-781-1831
Mailing Address - Fax:787-781-5030
Practice Address - Street 1:2 CALLE HORTENSIA
Practice Address - Street 2:COND. SKY TOWER II #5F
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6439
Practice Address - Country:US
Practice Address - Phone:787-424-8625
Practice Address - Fax:787-781-5030
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR532111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition