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NPI Code Detail

MEDICARE: DR. LEONEL PEREZ-LIMONTE MD, MS-HQPS, MHL

MEDICARE:  DR. LEONEL  PEREZ-LIMONTE  MD, MS-HQPS, MHL
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
12084N0008XNeuromuscular Medicine (Psychiatry & Neurology) PhysicianMD-2012-0661FL
22084N0400XNeurology PhysicianME0054686FL
32084P0301XBrain Injury Medicine (Psychiatry & Neurology) PhysicianME0054686FL
42084N0400XNeurology PhysicianMD-2012-0661NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
109761OTHERFLBCBS
2592157762OTHERFLTAX I.D. NUMBER

General Provider Information

NPI Number : 1063420412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEONEL PEREZ-LIMONTE MD, MS-HQPS, MHL
Provider Business Mailing Address
First Line : 1750 LENOX AVE
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-2415
Country : US
Telephone Number : 305-495-6503
Fax Number :
Provider Business Practice Location Address
First Line : 2420 W PIERCE ST STE 101
Second Line :
City : CARLSBAD
State : NM
Zip : 88220-3517
Country : US
Telephone Number : 575-628-0107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 05/03/2024

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Directions to “ DR. LEONEL PEREZ-LIMONTE MD, MS-HQPS, MHL” Practice Location

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