MEDICARE: PEDRO FERDINAND PANELLI MD, MS, FACP

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	207RG0100X	Gastroenterology Physician	8646	PR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	600681	OTHER	PR	MEDICARE Y MUCHO MAS
4	314	OTHER	PR	AMERICAN HEALTH MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	80324	OTHER	PR	TRIPLE S
3	067865	OTHER	PR	CRUZ AZUL
5	9155	OTHER	PR	FIRST MEDICAL
6	7320029	OTHER	PR	HUMANA

General Provider Information

NPI Number	:	1144226051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEDRO FERDINAND PANELLI MD, MS, FACP

Provider Business Mailing Address
First Line	:	PO BOX 800727
Second Line	:
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-0727
Country	:	US
Telephone Number	:	787-848-7770
Fax Number	:	787-848-5818

Provider Business Practice Location Address
First Line	:	909 AVE TITO CASTRO STE 612
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00716-4722
Country	:	US
Telephone Number	:	787-848-7770
Fax Number	:	787-848-5818

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	12/11/2025

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Directions to “ PEDRO FERDINAND PANELLI MD, MS, FACP” Practice Location

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