Dammert Coronado, Pedro Manuel
Dammert Coronado, Pedro Manuel is an individual health care provider with primary practice located at 435 H St , Chula Vista CA 91910-4307. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Dammert Coronado, Pedro Manuel can be contacted via phone (619) 862-6673.Contact Information
Primary practice address
435 H St
Chula Vista CA 91910-4307
Phone: (619) 862-6673
Fax: (619) 686-7335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C1-0010330 | Delaware |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | C1-0010330 | Delaware |
Profile Details
| NPI number | 1922330083 |
|---|---|
| LBN Legal business name | Dammert Coronado, Pedro Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2010 |
| Last updated | Jan 16th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922330083 | NPPES |
| Maryland | MEDICAID | 5321361 00 | |
| Maryland | MEDICAID | 1922330083 | |
| Maryland | Other | P01257424 |
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