Doctor Name: | PEDRO BALTAZAR GUZMAN PISFIL |
NPI Number: | 1215200985 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 18389 |
Business Practice Address: | 59 Calle Santa Cruz Bayamon, PR - 009616900 |
Business Phone Number: | 7877782100 |
Business Fax Number: | |
Mailing Address: | Calle 10 B 17-8, Urb. Santa Rosa BAYAMON |
State: | PR |
Postal Code: | 00959 |
Phone Number: | 7873877640 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2012 |
NPI Last Update Date: | 12/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18389 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |