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General NPI Number Information
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NPI Number | 1174609564
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Entity Type | Individual
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Provider Name | GUILLERMO R PEREZ MD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 02/22/2016
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Provider Practice Location Address
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Address Line | 5015 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539-8080
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Country | US
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Telephone | 956-627-3686
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Fax | 956-664-0531
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Provider Business Mailing Address
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Address Line | PO BOX 5550
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City | MCALLEN
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State | TX
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Zip | 78502-5550
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Country | US
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Telephone | 956-627-3686
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Fax | 956-664-0531
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | L7519
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | L7519
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License Number State | TX
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