Provider Demographics
NPI:1275820813
Name:PEREZ ACOSTA, MARCELA EDITH (MD)
Entity Type:Individual
Prefix:
First Name:MARCELA
Middle Name:EDITH
Last Name:PEREZ ACOSTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13550 VILLAGE PARK DR STE 330
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-7839
Mailing Address - Country:US
Mailing Address - Phone:407-598-5987
Mailing Address - Fax:
Practice Address - Street 1:13550 VILLAGE PARK DR STE 330
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7839
Practice Address - Country:US
Practice Address - Phone:407-598-5987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-04
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME133335207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology