MEDICARE: MR. PEDRO J PALOU-BOSCH 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
1	207V00000X	Obstetrics & Gynecology Physician	7880	PR

General Provider Information

NPI Number	:	1396819470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PEDRO J PALOU-BOSCH MD

Provider Business Mailing Address
First Line	:	T3-4 CARR 21
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-3312
Country	:	US
Telephone Number	:	787-793-4646
Fax Number	:	787-292-3911

Provider Business Practice Location Address
First Line	:	T3-4 CARR 21
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-3312
Country	:	US
Telephone Number	:	787-793-4646
Fax Number	:	787-292-3911

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	09/28/2015

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