Provider Demographics
NPI:1144751959
Name:PEREZ, ANDRES MAURICIO (MD)
Entity type:Individual
Prefix:DR
First Name:ANDRES
Middle Name:MAURICIO
Last Name:PEREZ
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 1:1200 S COL ROWE BLVD STE B12
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2905
Mailing Address - Country:US
Mailing Address - Phone:956-627-5991
Mailing Address - Fax:
Practice Address - Street 1:1200 S COL ROWE BLVD STE B12
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2905
Practice Address - Country:US
Practice Address - Phone:956-627-5991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-23
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT4451207L00000X, 208VP0014X, 207LP2900X
MDD99492207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine