Provider Demographics
NPI:1962039008
Name:IZQUIERDO PRESMANES, PEDRO JOAQUIN SR (CSA)
Entity Type:Individual
Prefix:
First Name:PEDRO
Middle Name:JOAQUIN
Last Name:IZQUIERDO PRESMANES
Suffix:SR
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8900 N KENDALL DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2118
Mailing Address - Country:US
Mailing Address - Phone:786-596-1960
Mailing Address - Fax:
Practice Address - Street 1:15354 SW 115TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-5217
Practice Address - Country:US
Practice Address - Phone:786-376-0639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-26
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant