Healthcare Provider Details

I. General information

NPI: 1457452559
Provider Name (Legal Business Name): CESAR AUGUSTO PEREZ HERNANDEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 30 INTERSECCION 921 BARRIO TEJAS
LAS PIEDRAS PR
00771
US

IV. Provider business mailing address

CARRETERA 30 INTERSECCION 921 BARRIO TEJAS
LAS PIEDRAS PR
00771
US

V. Phone/Fax

Practice location:
  • Phone: 787-733-2347
  • Fax:
Mailing address:
  • Phone: 787-733-2347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number5619
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: