JAIME ALBERTO PEDRAZA (NPI# 1033143102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033143102 |
| Entity Type | Individual |
| Full Name | JAIME ALBERTO PEDRAZA |
| Credential | D.D.S. |
| Practice Address |
Calle1 Hh1 Riverview Bayamon PR 00962-6070 |
| Mailing Address |
37 Calle Munoz Rivera Barranquitas PR 00794-1602 |
| Practice Telephone | 7872750605 |
| Mailing Telephone | 7874506599 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2063 | PR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | FIRST MEDICAL | 6954 | 01 |
| PR | HUMANA | 7940004 | 01 |
| PR | PLAN DE SALUD HOSPITAL ME | D00103 | 01 |
| PR | TRIPLE S | 041784 | 01 |
| PR | MCS LIFE | 1033143102 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790774297 | Jaime Pedraza | Physician Assistant | 30 Medical Center Blvd Bldg 1, Chester, PA 19013-3955 | 2005-10-18 |
| 1457585382 | Jaime Pedraza | Family Medicine | 3001 Edwards Mill Rd, # 200, Raleigh, NC 27612-5243 | 2009-05-06 |
| Street Address |
CALLE1 HH1 RIVERVIEW |
| City | BAYAMON |
| State | PR |
| Zip Code | 00962-6070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863212 | Farmacia Mia Corp | Pharmacy | Ave. Las Nereidas #14, Urb. Bahia, Catano, PR 00962 | 2020-08-31 |
| 1083268007 | Emilio Jose Velez Gonzalez | General Practice | Ii19 Calle 25, Urb Las Vegas, Catano, PR 00962 | 2019-07-29 |
| 1891354825 | Yaritza Pantojas | Social Worker | Calle 3 #63, Barrio Palmas, Catano, PR 00962 | 2019-06-12 |
| 1598225054 | Natasha Ramesh Pillai | Student in an Organized Health Care Education/Training Program | Ra25 Urb Marina Bahia Plaza 7, Catano, PR 00962 | 2019-03-21 |
| 1063976702 | Eduardo Antonio Irizarry | Student in an Organized Health Care Education/Training Program | Mg28 Marina Bahia Plaza 15, Catano, PR 00962 | 2019-01-28 |
| 1679044481 | Kathy A Santiago-rivera | Pharmacist | Centro Gran Caribe 104 Calle 678 #99, Vega Alta, PR 00962 | 2018-12-06 |
| 1326533134 | Vip Healthcare Solutions Inc | Pediatrics | Carretera Pr5 Km 2.8, Edif Job Andujar, Catano, PR 00962 | 2018-06-25 |
| 1780117564 | Municipality of Catano | Clinic/Center | Carr Pr5 Km 2.8, Edificio Job Andujar, Catano, PR 00962 | 2017-04-07 |
| 1912454794 | Luz Nuria Toledo | Pharmacist | Mb2 Ave La Marina, Marina Bahia, Catano, PR 00962 | 2016-09-08 |
| 1457704322 | Keydi Nicole Betancourt Gonzalez | Family Medicine | Plaza Quince Mg 27 Marina Bahia, Catano, PR 00962 | 2016-07-15 |
| Find all providers in zip 00962 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271827 | Suane Ann Canales | Dentist | 725 West Main Plaza Del Sol, Local 1100a, Bayamon, PR 00961 | 2019-02-18 |
| 1306337761 | Morales Dental Care LLC | Dentist | Ave Los Millones D95, Repto Alhambra, Bayamon, PR 00957 | 2018-05-22 |
| 1164887469 | Prosthodontics and Dental Implant Solutions | Dentist | Bb 25 Ave Santa Juanita, Bayamon, PR 00959 | 2015-12-31 |
| 1487990297 | Dana M Ortiz-sastre | Dentist | Ig15 Calle Crisantemo, Urb. Royal Palm, Bayamon, PR 00956-3111 | 2012-12-26 |
| 1811269277 | Levittown Dental | Dentist | Calle 11 A-7 Urb.san Souci, Bayamon, PR 00957 | 2012-02-01 |
| 1528369188 | Stones Dental Services | Dentist | Carr. 167 Km. 226, Hypermercado Pitusa De Bayamon, Bayamon, PR 00959 | 2010-11-12 |
| 1295042240 | Sandoval Dental Services, P.s.c. | Dentist | Aq-34 Ave. Laurel, Urb. Santa Juanita, Bayamon, PR 00956 | 2010-09-10 |
| 1760711964 | Clinica Dental Canton Mall | Dentist | Rio Hondo, Pmb Suite 452, Bayamon, PR 00961-3106 | 2009-12-17 |
| 1447405907 | Veronica Rivera | Dentist | Urb. Santa Cruz B-9, Bayamon, PR 00961 | 2008-11-25 |
| 1447420419 | Metro Medical Dental Associates Inc. | Dentist | 1995 Carr # 2, Suite 2804, Bayamon, PR 00959-2804 | 2008-03-06 |
| Find all providers in BAYAMON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.