MEDICARE: CLARA GUADALUPE PEREZ FNP-C, APRN

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	363LF0000X	Family Nurse Practitioner	1232136	TX

General Provider Information

NPI Number	:	1447195870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARA GUADALUPE PEREZ FNP-C, APRN

Provider Business Mailing Address
First Line	:	2304 LEO REYES CT
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-2079
Country	:	US
Telephone Number	:	956-462-3107
Fax Number	:

Provider Business Practice Location Address
First Line	:	1405 JACAMAN RD STE 102
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-6225
Country	:	US
Telephone Number	:	956-932-9262
Fax Number	:

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

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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