Healthcare Provider Details

I. General information

NPI: 1790499606
Provider Name (Legal Business Name): GIRALDO INFECTIOUS DISEASE ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1163 COUNTRY CLUB RD
MONONGAHELA PA
15063-1013
US

IV. Provider business mailing address

127 CHAPEL HARBOR DR
PITTSBURGH PA
15238-3155
US

V. Phone/Fax

Practice location:
  • Phone: 724-258-1000
  • Fax:
Mailing address:
  • Phone: 718-916-9496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier103377475
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: DR. TERESA GIRALDO
Title or Position: PRESIDENT
Credential: MD
Phone: 718-916-9496