MEDICARE: DR. PEDRO JUAN CLAUDIO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	14770	PR

General Provider Information

NPI Number	:	1245370279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEDRO JUAN CLAUDIO MD

Provider Business Mailing Address
First Line	:	HC 1 BOX 5123
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-9744
Country	:	US
Telephone Number	:	787-256-7843
Fax Number	:

Provider Business Practice Location Address
First Line	:	HOSPITAL UPR #3 STREET KM 8.3
Second Line	:	65 INFANTERY AVE
City	:	CAROLINA
State	:	PR
Zip	:	00984-6021
Country	:	US
Telephone Number	:	787-757-1800
Fax Number	:	787-750-0215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	07/09/2007

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