MEDICARE: DR. ZACHARY CHARLES PEREZ DPM

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	390200000X	Student in an Organized Health Care Education/Training Program		NM

General Provider Information

NPI Number	:	1407794704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHARY CHARLES PEREZ DPM

Provider Business Mailing Address
First Line	:	2120 GEENA ST
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-8006
Country	:	US
Telephone Number	:	956-566-6106
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 SAN PEDRO DR SE BLDG 41
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-5153
Country	:	US
Telephone Number	:	505-265-1711
Fax Number	:

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

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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