Ibarra-Perocier, Pedro H

Ibarra-Perocier, Pedro H is an individual health care provider with primary practice located at 111 Washington Ave Nw , Wagner SD 57380-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ibarra-Perocier, Pedro H can be contacted via phone (605) 384-3621.

Contact Information

Primary practice address
111 Washington Ave Nw Wagner SD 57380-4300
Fax: (605) 384-5229
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 14413 Puerto Rico

Profile Details

NPI number 1710961081
LBN Legal business name Ibarra-Perocier, Pedro H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Oct 24th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710961081 NPPES
Puerto Rico Other 3258 PREFERRED MEDICARE CHOICE
Puerto Rico Other A468 PREFERRED MEDICARE CHOICE
Puerto Rico Other 100284W PREFERRED MEDICARE CHOICE
Puerto Rico Other 1326066796 PREFERRED MEDICARE CHOICE

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