Lourdes R. Pedraza, MD

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

8153 Issued in PR

Practice address

252 Calle San Jorge
Suite 305
San Juan, PR 00912-3239

Phone

(787) 268-1185

Fax

(787) 268-1185

NPI assigned

Oct 10, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: sjclpedra@yourcarecommunity.org

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1295723716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JORGE",
            "address_2": "SUITE 305",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123239",
            "telephone_number": "787-268-1185",
            "fax_number": "787-268-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JORGE",
            "address_2": "SUITE 305",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123239",
            "telephone_number": "787-268-1185",
            "fax_number": "787-268-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRAZA",
        "first_name": "LOURDES",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "PR",
            "license": "8153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrics Management Services
• Pediatrix Medical Group
• Rene Arturo Pedraza Espada
• Grisel Marie Pedraza-Rosa, M.D.
• Caroline M Pedraza, MSW
• Wilfredo Manuel Pedreira Garcia, MD
• Pedro Aponte Muniz
• Pedro J Rullan Marin Medical Services, CSP
• Pedro Palou Bosh OB-GYN PSC
• Elsa M Pedro, PHARM D, BCPS, BCOP

• Pediatric Pulmonology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatric Pulmonology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.