Provider Demographics
NPI:1689715500
Name:PEREZ, FLORENCIA (MD)
Entity Type:Individual
Prefix:DR
First Name:FLORENCIA
Middle Name:
Last Name:PEREZ
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 1:5505 N MCCOLL RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2208
Mailing Address - Country:US
Mailing Address - Phone:956-683-8100
Mailing Address - Fax:956-683-8153
Practice Address - Street 1:5505 N MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2208
Practice Address - Country:US
Practice Address - Phone:956-683-8100
Practice Address - Fax:956-683-8153
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1965207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151312904Medicaid
TX151312901Medicaid
TX151312903Medicaid