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NPI Code Detail

MEDICARE: DR. IRVING ENRIQUE PEREZ GUZMAN M.D.

MEDICARE: DR. IRVING ENRIQUE PEREZ GUZMAN 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
1207R00000XInternal Medicine Physician60 286117NY
2207RC0000XCardiovascular Disease PhysicianME145591FL

Other Identifiers

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

General Provider Information

NPI Number : 1437599255
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRVING ENRIQUE PEREZ GUZMAN M.D.
Provider Business Mailing Address
First Line : 4638 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-2176
Country : US
Telephone Number : 863-386-0055
Fax Number : 863-386-0118
Provider Business Practice Location Address
First Line : 4638 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-2176
Country : US
Telephone Number : 863-386-0055
Fax Number : 863-386-0118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2013
Last Update Date : 07/29/2020

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