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NPI Code Detail

MEDICARE: MANUEL PEREZ-ESPINOSA MD PA

MEDICARE: MANUEL PEREZ-ESPINOSA MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME23805FL

General Provider Information

NPI Number : 1215285721
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANUEL PEREZ-ESPINOSA MD PA
Provider Business Mailing Address
First Line : 4990 PALM AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3726
Country : US
Telephone Number : 305-823-8732
Fax Number : 305-445-6437
Provider Business Practice Location Address
First Line : 4990 PALM AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3726
Country : US
Telephone Number : 305-823-8732
Fax Number : 305-445-6437
Authorized Official
Title or Position : PRESIDENT
Name : MANUEL PEREZ-ESPINOSA
Credential : MD
Telephone Number : 305-823-8732
Provider Enumeration Date : 08/15/2012
Last Update Date : 08/15/2012

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Directions to “MANUEL PEREZ-ESPINOSA MD PA ” Practice Location

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