Provider Demographics
NPI:1881637593
Name:PEREZ, JORGE A (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:A
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 10541
Mailing Address - Street 2:CAPARRA HEIGHTS STATION
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-0541
Mailing Address - Country:US
Mailing Address - Phone:787-281-6592
Mailing Address - Fax:787-281-6492
Practice Address - Street 1:DR. I GONZALEZ MARTINEZ ONCOLOGIC HOSPITAL
Practice Address - Street 2:P.R. MEDICAL CENTER DEPARTMENT OF ANESTHESIA 3RD FLOOR
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00919
Practice Address - Country:US
Practice Address - Phone:787-281-6492
Practice Address - Fax:787-281-6492
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR7943207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG41089Medicare UPIN