Provider Demographics
NPI:1942642228
Name:PEREDO-BERGER, LUZVIMINDA (MD)
Entity Type:Individual
Prefix:DR
First Name:LUZVIMINDA
Middle Name:
Last Name:PEREDO-BERGER
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 1:500 12TH ST SW FL 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20536-5098
Mailing Address - Country:US
Mailing Address - Phone:202-732-3481
Mailing Address - Fax:
Practice Address - Street 1:500 12TH ST SW FL 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20536-5098
Practice Address - Country:US
Practice Address - Phone:202-732-3481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.13993207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease