Provider Demographics
NPI:1992841423
Name:PEREZ-PASCUAL, MIGUEL FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:FRANCISCO
Last Name:PEREZ-PASCUAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5061 VILLA LINDE PKWY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3412
Mailing Address - Country:US
Mailing Address - Phone:810-733-6000
Mailing Address - Fax:810-733-0845
Practice Address - Street 1:5061 VILLA LINDE PKWY
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3412
Practice Address - Country:US
Practice Address - Phone:810-733-6000
Practice Address - Fax:810-733-0845
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301049673207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0251742OtherBLUECARENETWORK
MI1102517422OtherBLUECROSS BLUESHIELD
MI2626377Medicaid
MIC3653OtherMCARE
MI1102517422OtherHEALTHPLUS OF MICHIGAN
MI0251742Medicare ID - Type Unspecified
MI1102517422OtherHEALTHPLUS OF MICHIGAN
MIB47753Medicare UPIN