Provider Demographics
NPI:1427187319
Name:TROYA, PEDRO I (MD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:I
Last Name:TROYA
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 1:4816 N ARMENIA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-1400
Mailing Address - Country:US
Mailing Address - Phone:813-876-3636
Mailing Address - Fax:813-870-0077
Practice Address - Street 1:4816 N ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603
Practice Address - Country:US
Practice Address - Phone:813-876-3636
Practice Address - Fax:813-870-0077
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97850207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00799262OtherRR MEDICARE
FL001129900Medicaid
FLCG621Z - TAMPAMedicare PIN
FLCG621Y - PASCOMedicare PIN
FLCG621Medicare PIN