Provider Demographics
NPI:1942230891
Name:PERAZZA, ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:PERAZZA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1362 AVE MAGDALENA
Mailing Address - Street 2:APT.103 COND.PLAZA STELLA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-2029
Mailing Address - Country:US
Mailing Address - Phone:787-722-6069
Mailing Address - Fax:787-722-6069
Practice Address - Street 1:10 CALLE CASIA
Practice Address - Street 2:SAN JUAN VETERANS ADMINISTRATION HOSPITAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3200
Practice Address - Country:US
Practice Address - Phone:787-722-6069
Practice Address - Fax:787-722-6069
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR13211208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology