Provider Demographics
NPI:1073883492
Name:PEREZ-PEREZ, MARTA IRIS (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MARTA
Middle Name:IRIS
Last Name:PEREZ-PEREZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8325 SOUTHPARK CIR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9075
Mailing Address - Country:US
Mailing Address - Phone:787-841-7791
Mailing Address - Fax:
Practice Address - Street 1:8325 SOUTHPARK CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9075
Practice Address - Country:US
Practice Address - Phone:407-345-7141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-02
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4880183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist