Healthcare Provider Details

I. General information

NPI: 1447283940
Provider Name (Legal Business Name): PEDRO I DE ARMAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 1ST AVE 9U
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

530 1ST AVE 9U
NEW YORK NY
10016-6402
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-7751
  • Fax: 212-263-7908
Mailing address:
  • Phone: 212-263-7751
  • Fax: 212-263-7908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number144995
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: