Healthcare Provider Details

I. General information

NPI: 1265418545
Provider Name (Legal Business Name): HECTOR M. ARMAIZ PEREZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 12/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DE DIEGO AVE #200 SUITE 704, SANTURCE
SANTURCE PR
00907
US

IV. Provider business mailing address

PO BOX 361756
SAN JUAN PR
00936-1756
US

V. Phone/Fax

Practice location:
  • Phone: 787-724-6444
  • Fax: 787-724-6444
Mailing address:
  • Phone: 787-724-6444
  • Fax: 787-724-6444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number6593
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: