Individual provider · NPI-1

Jorge Luis De La Pedraja, M.D.

Plastic Surgery · Coral Gables, FL

NPI number1508925496
StatusActive
Last updated in NPPESAug 6, 2026

Details

NPI
1508925496
Entity type
Individual (NPI-1)
Name
Jorge Luis De La Pedraja
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 6, 2006
Certification date
Aug 6, 2026
Last updated
Aug 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic SurgeryME77828FLYes

Practice location

167 Majorca Ave
Coral Gables, FL 33134-4553

Phone 305-441-9144 · Fax 305-448-8994

Mailing address

167 Majorca Ave
Coral Gables, FL 33134-4553

Phone 305-441-9144 · Fax 305-441-9678

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