San Pedro, Ricardo A

San Pedro, Ricardo A is an sole proprietor health care provider with primary practice located at 1701 N Senate Blvd , Indianapolis IN 46202-1239. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. San Pedro, Ricardo A can be contacted via phone (317) 577-4200.

Contact Information

Primary practice address
1701 N Senate Blvd Indianapolis IN 46202-1239
Phone: (317) 577-4200
Fax: (317) 577-9503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA213015 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R89933 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1730A South Carolina

Profile Details

NPI number 1447247671
LBN Legal business name San Pedro, Ricardo A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2005
Last updated Oct 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447247671 NPPES
South Carolina MEDICAID AN1175

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