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NPI Code Detail

MEDICARE: DR. ALBERTO PEREZ DIMAGGIO M.D.

MEDICARE: DR. ALBERTO PEREZ DIMAGGIO 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
1207L00000XAnesthesiology PhysicianME90366FL

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 : 1457397242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALBERTO PEREZ DIMAGGIO M.D.
Provider Business Mailing Address
First Line : 255 W MICHIGAN AVE
Second Line :
City : JACKSON
State : MI
Zip : 49201-2218
Country : US
Telephone Number : 517-787-6440
Fax Number : 517-787-4146
Provider Business Practice Location Address
First Line : 1555 INDIAN RIVER BLVD
Second Line : SUITE B-120
City : VERO BEACH
State : FL
Zip : 32960-7103
Country : US
Telephone Number : 772-778-9621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 07/08/2007

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