Provider Demographics
NPI:1790840312
Name:PARDO, MARIA F (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:F
Last Name:PARDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 CALLE ORQUIDEA
Mailing Address - Street 2:URB. ROUND HILL
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-2714
Mailing Address - Country:US
Mailing Address - Phone:787-240-9001
Mailing Address - Fax:
Practice Address - Street 1:130 CALLE CARITE
Practice Address - Street 2:URB. LAGO ALTO K.M. 4.7
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-760-6269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10577208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics