JAIME ALBERTO PEDRAZA D.D.S. NPI 1033143102

NPI Information

  • NPI: 1033143102
  • Provider Name: JAIME ALBERTO PEDRAZA, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: CALLE1 HH1 RIVERVIEW
    BAYAMON, PR
    ZIP 00962
  • Phone: (787) 275-0605

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NPI Details

Jaime Alberto Pedraza, D.D.S. is a general practice dentist in Bayamon, PR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Jaime Alberto Pedraza, D.D.S. NPI is 1033143102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

CALLE1 HH1 RIVERVIEW
BAYAMON, PR
ZIP 00962-070
Phone: (787) 275-0605

The NPI 1033143102 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/11/2006 and was last updated on 9/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2063PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16954OTHERPUERTO RICOFIRST MEDICAL
27940004OTHERPUERTO RICOHUMANA
3D00103OTHERPUERTO RICOPLAN DE SALUD HOSPITAL ME
4041784OTHERPUERTO RICOTRIPLE S
51033143102OTHERPUERTO RICOMCS LIFE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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