Healthcare Provider Details

I. General information

NPI: 1851724538
Provider Name (Legal Business Name): RACHEL ANNE PEREZ PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL ANNE SANBORN

II. Dates (important events)

Enumeration Date: 08/16/2013
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 CONCORD AVE STE 4100
CAMBRIDGE MA
02138-1041
US

IV. Provider business mailing address

330 MOUNT AUBURN ST PARSONS 2
CAMBRIDGE MA
02138-5597
US

V. Phone/Fax

Practice location:
  • Phone: 617-547-4400
  • Fax: 617-576-1076
Mailing address:
  • Phone: 617-547-4400
  • Fax: 617-576-1076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA4788
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA4788
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: