Provider Demographics
NPI:1447283940
Name:DE ARMAS, PEDRO I (MD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:I
Last Name:DE ARMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 1ST AVE
Mailing Address - Street 2:9U
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:212-263-7751
Mailing Address - Fax:212-263-7908
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:9U
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-7751
Practice Address - Fax:212-263-7908
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY144995207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00852819Medicaid
NYA400051313Medicare PIN
NYA61089Medicare UPIN