Provider Demographics
NPI:1942867353
Name:PEREZ, ALEXENDAR REINALDO (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ALEXENDAR
Middle Name:REINALDO
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 FULTON ST APT 207
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-3668
Mailing Address - Country:US
Mailing Address - Phone:303-345-5148
Mailing Address - Fax:
Practice Address - Street 1:513 PARNASSUS AVE # S455
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2205
Practice Address - Country:US
Practice Address - Phone:415-514-3781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program