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NPI Code Detail

MEDICARE: DR. JOSE ANTONIO PIETRI MD

MEDICARE:  DR. JOSE ANTONIO PIETRI  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
1171100000XAcupuncturist466PR
2208D00000XGeneral Practice Physician14885PR

General Provider Information

NPI Number : 1285637629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE ANTONIO PIETRI MD
Provider Business Mailing Address
First Line : PO BOX 1515
Second Line :
City : AIBONITO
State : PR
Zip : 00705-1515
Country : US
Telephone Number : 787-991-1560
Fax Number : 787-991-1560
Provider Business Practice Location Address
First Line : 102 RAMON FLORES ST.
Second Line :
City : AIBONITO
State : PR
Zip : 00705-3716
Country : US
Telephone Number : 787-991-1560
Fax Number : 787-991-1560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 11/01/2012

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Directions to “ DR. JOSE ANTONIO PIETRI MD” Practice Location

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