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:
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Other - Credentials:
Mailing Address - Street 1:1506 S LONE STAR WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4977
Mailing Address - Country:US
Mailing Address - Phone:956-731-0409
Mailing Address - Fax:956-322-4092
Practice Address - Street 1:1506 S LONE STAR WAY STE 1
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-4977
Practice Address - Country:US
Practice Address - Phone:356-731-0409
Practice Address - Fax:956-322-4092
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-23
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD99492207L00000X
TXT4451207LP2900X, 208VP0014X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine