Provider Demographics
NPI:1457977084
Name:PEREZ, ARMANDO JR (MD)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:PEREZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-1032
Mailing Address - Country:US
Mailing Address - Phone:954-983-9191
Mailing Address - Fax:888-227-9569
Practice Address - Street 1:1990 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-1032
Practice Address - Country:US
Practice Address - Phone:954-983-9191
Practice Address - Fax:888-227-9569
Is Sole Proprietor?:No
Enumeration Date:2020-06-19
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN30792208600000X
MN69653208600000X
FLME155903208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208600000XAllopathic & Osteopathic PhysiciansSurgery