MEDICARE: CARLOS ALBERTO PEREZ HERNANDEZ 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
1	207R00000X	Internal Medicine Physician	0101281885	VA

General Provider Information

NPI Number	:	1578232831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS ALBERTO PEREZ HERNANDEZ MD

Provider Business Mailing Address
First Line	:	1919 N NASH ST APT 1315
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22209-1642
Country	:	US
Telephone Number	:	908-887-8320
Fax Number	:

Provider Business Practice Location Address
First Line	:	5860 COLUMBIA PIKE STE 105
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-2047
Country	:	US
Telephone Number	:	703-348-9111
Fax Number	:

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

Provider Enumeration Date	:	09/09/2021
Last Update Date	:	01/27/2025

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