Provider Demographics
NPI:1760237655
Name:PEREZ SANCHEZ, LESTER M (PA)
Entity Type:Individual
Prefix:
First Name:LESTER
Middle Name:M
Last Name:PEREZ SANCHEZ
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1821 SW 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2419
Mailing Address - Country:US
Mailing Address - Phone:786-556-6769
Mailing Address - Fax:786-396-1466
Practice Address - Street 1:1821 SW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2419
Practice Address - Country:US
Practice Address - Phone:786-556-6769
Practice Address - Fax:786-396-1466
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLTPPA666363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical