Provider Demographics
NPI:1184730012
Name:PEREZ-LIRIO, GRACIA B (MD)
Entity type:Individual
Prefix:DR
First Name:GRACIA
Middle Name:B
Last Name:PEREZ-LIRIO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:464 HILLSIDE AVENUE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1228
Mailing Address - Country:US
Mailing Address - Phone:781-449-5170
Mailing Address - Fax:781-449-5171
Practice Address - Street 1:464 HILLSIDE AVENUE
Practice Address - Street 2:SUITE 302
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-1228
Practice Address - Country:US
Practice Address - Phone:781-449-5170
Practice Address - Fax:781-449-5171
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2012-11-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA229635207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine