Provider Demographics
NPI:1386637072
Name:LAFONT-PEREZ, EMILIO A (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILIO
Middle Name:A
Last Name:LAFONT-PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1539
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1539
Mailing Address - Country:US
Mailing Address - Phone:787-854-2918
Mailing Address - Fax:787-884-0942
Practice Address - Street 1:156-2 BDA FELIX CORDOVA DAVILA
Practice Address - Street 2:CENTRO COMERCIAL CORTES
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5947
Practice Address - Country:US
Practice Address - Phone:787-854-2918
Practice Address - Fax:787-884-0942
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7106207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9900095OtherHUMANA HEALTHPLANS OF PR
PR068859OtherLA CRUZ AZUL DE PR
PR28713LAOtherTRIPLES
PR1697OtherINTERNATIONAL MEDICAL CAR
PRPE1206OtherPALIC
PR28713LAOtherTRIPLES
PRPE1206OtherPALIC