Provider Demographics
NPI:1437599255
Name:PEREZ GUZMAN, IRVING ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:IRVING
Middle Name:ENRIQUE
Last Name:PEREZ GUZMAN
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 1:4638 SUN N LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-2176
Mailing Address - Country:US
Mailing Address - Phone:863-386-0055
Mailing Address - Fax:863-386-0118
Practice Address - Street 1:4638 SUN N LAKE BLVD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2176
Practice Address - Country:US
Practice Address - Phone:863-386-0055
Practice Address - Fax:863-386-0118
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60 286117207R00000X
FLME145591207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine