Provider Demographics
NPI:1831365527
Name:M.PEREZ-PASCUAL, M.D.,P.C.
Entity type:Organization
Organization Name:M.PEREZ-PASCUAL, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:PEREZ-PASCUAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-733-6000
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301049673207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0251742OtherBLUECARENETWORK
MI1102517422OtherHEALTHPLUS OF MICHIGAN
MI1102517422OtherBLUE CROSS BLUE SHIELD
MI2626377Medicaid
MIB47753Medicare UPIN
MI0251742OtherBLUECARENETWORK