Pedro Mora MDPC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PEDRO MORA MDPC

Practice address

1009 W Lincoln Rd
Ville Platte, LA 70586-3045

Phone

(337) 363-6674

Fax

(337) 363-6675

NPI assigned

Mar 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pedro Mora, M.D.

Title

President

Phone

(337) 363-6674

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043344179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W LINCOLN RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705863045",
            "telephone_number": "337-363-6674",
            "fax_number": "337-363-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W LINCOLN RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705863045",
            "telephone_number": "337-363-6674",
            "fax_number": "337-363-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO MORA MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-363-6674",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1183644",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Ville Platte, LA
• Providers in Ville Platte, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.