Provider Demographics
NPI:1245370279
Name:CLAUDIO, PEDRO JUAN (MD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:JUAN
Last Name:CLAUDIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 5123
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-9744
Mailing Address - Country:US
Mailing Address - Phone:787-256-7843
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL UPR #3 STREET KM 8.3
Practice Address - Street 2:65 INFANTERY AVE
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00984-6021
Practice Address - Country:US
Practice Address - Phone:787-757-1800
Practice Address - Fax:787-750-0215
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR14770207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI-18185Medicare UPIN