Provider Demographics
NPI:1295723716
Name:PEDRAZA, LOURDES R (MD)
Entity type:Individual
Prefix:DR
First Name:LOURDES
Middle Name:R
Last Name:PEDRAZA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:252 CALLE SAN JORGE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00912-3239
Mailing Address - Country:US
Mailing Address - Phone:787-268-1185
Mailing Address - Fax:787-268-1185
Practice Address - Street 1:252 CALLE SAN JORGE
Practice Address - Street 2:SUITE 305
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-3239
Practice Address - Country:US
Practice Address - Phone:787-268-1185
Practice Address - Fax:787-268-1185
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2012-04-06
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Provider Licenses
StateLicense IDTaxonomies
PR81532080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology