Provider Demographics
NPI:1760603856
Name:PEREZ MEDICAL SERVICES,C.S.P
Entity Type:Organization
Organization Name:PEREZ MEDICAL SERVICES,C.S.P
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DUENO
Authorized Official - Prefix:MISS
Authorized Official - First Name:VELEZ
Authorized Official - Middle Name:MEDINA
Authorized Official - Last Name:BRENDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-817-2512
Mailing Address - Street 1:PO BOX 143853
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614
Mailing Address - Country:US
Mailing Address - Phone:787-817-2512
Mailing Address - Fax:
Practice Address - Street 1:URB SAN LORENZO 2 CALLE PEDRO MORA SUITE 1
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-817-2512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10418207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty