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NPI Code Detail

MEDICARE: REBECA PEREZ

MEDICARE:   REBECA  PEREZ
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
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1629739529
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECA PEREZ
Provider Business Mailing Address
First Line : 6334 WAGONS EAST TRL
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-6717
Country : US
Telephone Number : 575-644-8137
Fax Number :
Provider Business Practice Location Address
First Line : 6334 WAGONS EAST TRL
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-6717
Country : US
Telephone Number : 575-644-8137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2022
Last Update Date : 01/04/2022

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Directions to “ REBECA PEREZ ” Practice Location

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