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NPI Code Detail

MEDICARE: KIRA CAROLINA BALESTRINI PEREZ MD

MEDICARE: KIRA CAROLINA BALESTRINI PEREZ MD
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
1207R00000XInternal Medicine PhysicianME166535FL

General Provider Information

NPI Number : 1235669854
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRA CAROLINA BALESTRINI PEREZ MD
Provider Business Mailing Address
First Line : 7401 W COMMERCIAL BLVD
Second Line :
City : LAUDERHILL
State : FL
Zip : 33319-2129
Country : US
Telephone Number : 954-644-8800
Fax Number : 954-824-1901
Provider Business Practice Location Address
First Line : 7401 W COMMERCIAL BLVD
Second Line :
City : LAUDERHILL
State : FL
Zip : 33319-2129
Country : US
Telephone Number : 954-644-8800
Fax Number : 954-824-1901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2017
Last Update Date : 05/15/2024

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