Pedro Pena in Erie - Vascular & Interventional Radiology
Pedro Pena - NPI 1790784007
Pedro Pena is a Vascular & Interventional Radiology in Erie, Pennsylvania. Pedro Pena practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Pedro Pena is 1790784007. The last update date is 2013-05-16.
Pedro Pena's current location address is 201 State St, Erie, Pennsylvania. You can contact this provider via phone number 8148776182 and fax number 8148776149. The mailing address for Pedro Pena is 201 State St, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pedro Pena |
|---|---|
| Address | 201 State St, Erie, Pennsylvania |
| Phone Number | 8148776182 |
| Fax Number | 8148776149 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790784007 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2013-05-16 |
Provider Mailing Address Detail
| Address | 201 State St |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165500002 |
| Phone Number | 8148776182 |
| Fax Number | 8148776149 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | MD015257E |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1068921 | WV | W. VIRGINIA WORKERS COMP | |
| 300120916 | PA | RR MEDICARE | |
| 25445602 | NY | UNIVERA | |
| 1521688 | PA | GATEWAY | |
| 18379020003 | PA | -- | |
| 2146761 | NY | NY MEDICAL ASSISTANCE | |
| 2231365 | OH | OH MEDICAL ASSISTANCE | |
| 3369068 | PA | AETNA | |
| 304576 | PA | UPMC | |
| 118180 | PA | UNISON |
Post Comment/ Review Below
What is the unique identifier code issued to Pedro Pena by the Centers for Medicare & Medicaid Services?
The Pedro Pena has been assigned the NPI (National Provider Identifier) 1790784007. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Pedro Pena is physically located?
The Pedro Pena is situated at the following address: 201 State St, Erie, PA 165500002.
What is Pedro Pena's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pedro Pena's area of specialization is Vascular & Interventional Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0204X.
On what date did the Pedro Pena receive the assignment of its 1790784007 from the Centers for Medicare & Medicaid Services?
The Pedro Pena was issued its 1790784007 by the Centers for Medicare & Medicaid Services on 2005-07-19.
As of what date were the Pedro Pena's details last updated?
The information pertaining to the Pedro Pena, including its address, specialty, and other details, was most recently updated on 2013-05-16.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH