Provider Demographics
NPI:1770560898
Name:PARRILLA PADILLA, PEDRO LUIS (MD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:LUIS
Last Name:PARRILLA PADILLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:RR 8 BOX 2196
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9620
Mailing Address - Country:US
Mailing Address - Phone:787-798-3835
Mailing Address - Fax:787-798-4230
Practice Address - Street 1:CALLE SANTA CRUZ #70
Practice Address - Street 2:STE 311 EDIFICIO MEDICO SANTA CRUZ
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-798-3835
Practice Address - Fax:787-798-4230
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR5325207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P058OtherFIRST MEDICAL
3705325OtherPLAN UIA
3313 5OtherPROSSAM
5023OtherESPECIALIDAD
6210092OtherHUMANA INSURANCE PRIVADO
064611OtherCRUZ AZUL
209267OtherPREFERED HEALTH CARE
2197OtherPREFERED MEDICARE CHOICE
070188OtherHUMANA PLAN DELCOBIERNO
25610OtherTRIPLE SSS
070188OtherHUMANA PLAN DELCOBIERNO
3313 5OtherPROSSAM