Provider Demographics
NPI:1255412250
Name:PEREZ, HECTOR M (OD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:M
Last Name:PEREZ
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:PO BOX 34461
Mailing Address - Street 2:FORT BUCHANAN
Mailing Address - City:FORT BUCHANAN
Mailing Address - State:PR
Mailing Address - Zip Code:00934-0461
Mailing Address - Country:US
Mailing Address - Phone:787-781-6721
Mailing Address - Fax:787-781-6758
Practice Address - Street 1:BLDG 689
Practice Address - Street 2:
Practice Address - City:FORT BUCHANAN
Practice Address - State:PR
Practice Address - Zip Code:00934-0461
Practice Address - Country:US
Practice Address - Phone:787-781-6721
Practice Address - Fax:787-781-6758
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR250152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR83768OtherTRIPLE S INSURANCE CO
PR83768Medicare ID - Type Unspecified