Sandoval, Pedro Rodrigo
Sandoval, Pedro Rodrigo is an individual health care provider with primary practice located at 622 W 168Th St Ph-14 Center, New York NY 10032-3720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Sandoval, Pedro Rodrigo can be contacted via phone (212) 305-0914.Contact Information
Primary practice address
622 W 168Th St Ph-14 Center
New York NY 10032-3720
Phone: (212) 305-0914
Fax: (212) 305-4343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 003017 | New York |
Profile Details
| NPI number | 1639347537 |
|---|---|
| LBN Legal business name | Sandoval, Pedro Rodrigo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2008 |
| Last updated | Apr 30th, 2018 - about 8 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 | 1639347537 | NPPES |
| New York | MEDICAID | 03052655 |
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