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NPI Code Detail

MEDICARE: PABLO-MOISES GARCIA-PEREZ CRNA

MEDICARE: PABLO-MOISES GARCIA-PEREZ CRNA
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
1207L00000XAnesthesiology Physician164987CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548265119
Entity Type Code : Individual
Provider Name (Legal Business Name) : PABLO-MOISES GARCIA-PEREZ CRNA
Provider Business Mailing Address
First Line : 1705 AQUILA DR
Second Line :
City : PUEBLO
State : CO
Zip : 81008-1798
Country : US
Telephone Number : 719-542-9093
Fax Number :
Provider Business Practice Location Address
First Line : 1008 MINNEQUA AVE
Second Line : ANESTHESIA DEPARTMENT
City : PUEBLO
State : CO
Zip : 81004-3733
Country : US
Telephone Number : 719-560-5430
Fax Number : 719-560-5448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 07/08/2007

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Directions to “ PABLO-MOISES GARCIA-PEREZ CRNA” Practice Location

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