Healthcare Provider Details

I. General information

NPI: 1942288808
Provider Name (Legal Business Name): MANUEL RAMON PEREZ-IZQUIERDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2006
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 GATEWAY DR STE 2C
MELBOURNE FL
32901-2607
US

IV. Provider business mailing address

3300 S FISKE BLVD
ROCKLEDGE FL
32955-4306
US

V. Phone/Fax

Practice location:
  • Phone: 321-549-0815
  • Fax: 321-768-0039
Mailing address:
  • Phone: 321-549-0815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME77082
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: