MEDICARE: PROCREATE FERTILITY CENTER OF VIRGINIA PLLC

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
1	207VE0102X	Reproductive Endocrinology Physician	0101244192	VA

General Provider Information

NPI Number	:	1134678733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROCREATE FERTILITY CENTER OF VIRGINIA PLLC

Provider Business Mailing Address
First Line	:	700 OAK GROVE RD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-3728
Country	:	US
Telephone Number	:	757-977-8500
Fax Number	:	757-451-9694

Provider Business Practice Location Address
First Line	:	700 OAK GROVE RD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-3728
Country	:	US
Telephone Number	:	757-977-8500
Fax Number	:	757-451-9694

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. CHRISTIAN M. PEREZ
Credential	:	M.D.
Telephone Number	:	757-404-5892

Provider Enumeration Date	:	09/25/2016
Last Update Date	:	05/27/2026

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