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NPI Code Detail

MEDICARE: MR. MERCEDES MARIA PEREZ RPH

MEDICARE: MR. MERCEDES MARIA PEREZ RPH
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
1183500000XPharmacist14592FL

General Provider Information

NPI Number : 1477757201
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MERCEDES MARIA PEREZ RPH
Provider Business Mailing Address
First Line : 4745 SW 2ND TER
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1415
Country : US
Telephone Number : 305-442-1327
Fax Number :
Provider Business Practice Location Address
First Line : 4175 W 20TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-5874
Country : US
Telephone Number : 305-825-0300
Fax Number : 305-553-2580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 07/08/2007

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