MEDICARE: DR. DANIEL JESUS PEREZ M.D.

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	207Q00000X	Family Medicine Physician	ME 103604	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215176086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL JESUS PEREZ M.D.

Provider Business Mailing Address
First Line	:	1515 N FLAGLER DR STE 101
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3429
Country	:	US
Telephone Number	:	561-659-1270
Fax Number	:

Provider Business Practice Location Address
First Line	:	7408 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2502
Country	:	US
Telephone Number	:	561-642-1000
Fax Number	:	561-475-4134

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2009
Last Update Date	:	12/23/2020

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