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NPI Code Detail

MEDICARE: LUIS PEREZ MD

MEDICARE: LUIS PEREZ MD
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
1208000000XPediatrics Physician33049AZ
2208M00000XHospitalist Physician33049AZ

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 : 1508844218
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS PEREZ MD
Provider Business Mailing Address
First Line : 2108 E THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-7761
Country : US
Telephone Number : 602-933-3124
Fax Number :
Provider Business Practice Location Address
First Line : 9003 E SHEA BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-6709
Country : US
Telephone Number : 480-323-3160
Fax Number : 480-323-3993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 06/25/2025

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Directions to “ LUIS PEREZ MD” Practice Location

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