Provider Demographics
NPI:1144025529
Name:PEDRO, AURIOL MURIEL MIDAS
Entity type:Individual
Prefix:
First Name:AURIOL
Middle Name:MURIEL MIDAS
Last Name:PEDRO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4609 SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68133-4839
Mailing Address - Country:US
Mailing Address - Phone:402-208-1937
Mailing Address - Fax:
Practice Address - Street 1:4609 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68133-4839
Practice Address - Country:US
Practice Address - Phone:402-208-1937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE106953372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty