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NPI Code Detail

MEDICARE: MANUEL ENRIQUE PEREZ

MEDICARE:   MANUEL ENRIQUE PEREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramNM

General Provider Information

NPI Number : 1003762360
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANUEL ENRIQUE PEREZ
Provider Business Mailing Address
First Line : 14 NAVAJO RD
Second Line :
City : CLOVIS
State : NM
Zip : 88101-9650
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1801 N OREGON ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-3524
Country : US
Telephone Number : 915-521-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ MANUEL ENRIQUE PEREZ ” Practice Location

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