Provider Demographics
NPI:1558516765
Name:PEREZ, ARTURO J (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:J
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ARTURO
Other - Middle Name:J
Other - Last Name:PEREZ CORRALES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:25 NW 57TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4802
Mailing Address - Country:US
Mailing Address - Phone:305-728-4823
Mailing Address - Fax:305-615-3826
Practice Address - Street 1:25 NW 57TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4802
Practice Address - Country:US
Practice Address - Phone:305-728-4823
Practice Address - Fax:305-615-3826
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN 826208D00000X
FLME144763208D00000X
PR199367208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice