Provider Demographics
NPI:1952648370
Name:PEREZ, ERLINDA DE LAS ALAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ERLINDA
Middle Name:DE LAS ALAS
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:FLORIDA STATE HOSPITAL
Mailing Address - City:CHATTAHOOCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:32324-1000
Mailing Address - Country:US
Mailing Address - Phone:850-663-7536
Mailing Address - Fax:850-663-7319
Practice Address - Street 1:100 NORTH MAIN ST.
Practice Address - Street 2:FLORIDA STATE HOSPITAL
Practice Address - City:CHATTAHOOCHEE
Practice Address - State:FL
Practice Address - Zip Code:32324-1000
Practice Address - Country:US
Practice Address - Phone:850-663-7536
Practice Address - Fax:850-663-7319
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME19956207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL052334800Medicaid
FLD58267Medicare UPIN