Pedro H Ibarra-Perocier in Wagner - General Practice
Pedro H Ibarra-Perocier - NPI 1710961081
Pedro H Ibarra-Perocier is a General Practice in Wagner, South Dakota. Pedro H Ibarra-Perocier practices all healthcare services and medical treatments related to General Practice. The NPI Number for Pedro H Ibarra-Perocier is 1710961081. The last update date is 2011-10-24.
Pedro H Ibarra-Perocier's current location address is 111 Washington Ave Nw, Wagner, South Dakota. You can contact this provider via phone number 6053843621 and fax number 6053845229. The mailing address for Pedro H Ibarra-Perocier is 111 Washington Ave Nw, Wagner, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pedro H Ibarra-Perocier |
|---|---|
| Address | 111 Washington Ave Nw, Wagner, South Dakota |
| Phone Number | 6053843621 |
| Fax Number | 6053845229 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710961081 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2011-10-24 |
Provider Mailing Address Detail
| Address | 111 Washington Ave Nw |
|---|---|
| City | Wagner |
| State | South Dakota (SD) |
| Post Code | 573804300 |
| Phone Number | 6053843621 |
| Fax Number | 6053845229 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 14413 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3258 | PR | PREFERRED MEDICARE CHOICE | |
| A468 | PR | FIRST MEDICAL | |
| 100284W | PR | MEDICARE Y MUCHO MAS | |
| 1326066796 | SD | I.H.S. WAGNER |
Post Comment/ Review Below
What is the unique identification code assigned to Pedro H Ibarra-Perocier by the Centers for Medicare & Medicaid Services?
The Pedro H Ibarra-Perocier has been issued the NPI (National Provider Identifier) 1710961081. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Pedro H Ibarra-Perocier's facilities are geographically located?
The facilities of Pedro H Ibarra-Perocier are physically situated at the following location: 111 Washington Ave Nw, Wagner, SD, 573804300.
What is the Pedro H Ibarra-Perocier's specialty and taxonomy code?
The Pedro H Ibarra-Perocier's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date was the 1710961081 assigned to Pedro H Ibarra-Perocier?
The Pedro H Ibarra-Perocier was issued its 1710961081 on 2005-12-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Pedro H Ibarra-Perocier last refreshed?
The information related to the Pedro H Ibarra-Perocier, including its address, specialty, and other relevant details, was last updated on 2011-10-24.