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IVEMILIA PEDRAZA
NPI 1790843027
General Practice in Patillas, PR

Active since December 06, 2006PECOS Enrolled
99 GUILLERMO RIEFKHOL ST., PATILLAS, PR 00723(787) 839-4320(787) 271-0004 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ivemilia Pedraza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVEMILIA PEDRAZA (NPI 1790843027) is an individual general practice provider in Patillas, Puerto Rico, licensed in Puerto Rico (14463) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790843027
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameIVEMILIA PEDRAZA
Location Address99 GUILLERMO RIEFKHOL ST.Patillas, PR 00723
Mailing AddressPo Box 697Patillas, PR 00723 · (787) 839-4320 · Fax (787) 271-0004
Phone(787) 839-4320
Fax(787) 271-0004
Sole ProprietorYes
Enumeration DateDecember 6, 2006
Last NPPES UpdateFebruary 4, 2013
✔ NPI 1790843027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 14463
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
99 GUILLERMO RIEFKHOL ST., Patillas, PR 00723
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivemilia Pedraza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ivemilia Pedraza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro Servicios Primarios De Salud De Patillas Inc.-Maunabo
7.5 mi
Federally Qualified Health Center (FQHC)
45 CALLE MUNOZ RIVERA
Maunabo, PR 00707
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Medicare enrollment name: Centro Servicios Primarios De Salud De Patillas Inc.
  • 39 clinicians in this Medicare group
NPI 1679981047 (787) 861-4320

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. YASHIRA MORALES PHARMACY TECHNICIAN
Pharmacy Technician
99 GUILLERMO RIEFKHOL ST.
PATILLAS, PR 00723
Patillas Municipio (787) 839-4320
MRS. HAYDEE GONZALEZ
Pharmacy Technician
99 GUILLERMO RIEFKHOL ST.
PATILLAS, PR 00723
Patillas Municipio (787) 839-4320
MR. HERIBERTO MORALES PHARMACY TECHNICIAN
Pharmacy Technician
99 GUILLERMO RIEFKHOL ST.
PATILLAS, PR 00723
Patillas Municipio (787) 839-4320
MS. CARMEN MARQUEZ PHARMACY TECHNICIAN
Pharmacy Technician
99 GUILLERMO RIEFKHOL ST.
PATILLAS, PR 00723
Patillas Municipio (787) 839-4320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivemilia Pedraza's NPI number?

The NPI number for Ivemilia Pedraza is 1790843027. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Ivemilia Pedraza located?

Ivemilia Pedraza practices at 99 Guillermo Riefkhol St., Patillas, PR 00723. The listed phone number is (787) 839-4320.

What is Ivemilia Pedraza's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ivemilia Pedraza enrolled in Medicare?

Yes. Ivemilia Pedraza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ivemilia Pedraza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivemilia Pedraza reassigns Medicare benefits to Centro Servicios Primarios De Salud De Patillas Inc.-Maunabo (Maunabo, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivemilia Pedraza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ivemilia Pedraza was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.