Provider Demographics
NPI:1942356100
Name:GAY, PEDRO P (DC)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:P
Last Name:GAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 YORK ST
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-7160
Mailing Address - Country:US
Mailing Address - Phone:207-985-8877
Mailing Address - Fax:207-985-5683
Practice Address - Street 1:44 YORK ST
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-7160
Practice Address - Country:US
Practice Address - Phone:207-985-8877
Practice Address - Fax:207-985-5683
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR930111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U56856Medicare UPIN