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NPI Code Detail

MEDICARE: ALEJANDRO PEREZ MD

MEDICARE: ALEJANDRO 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
1207Q00000XFamily Medicine Physician10125RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598768301
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRO PEREZ MD
Provider Business Mailing Address
First Line : 3425 NORTH BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3676
Country : US
Telephone Number : 318-442-2339
Fax Number : 318-442-2340
Provider Business Practice Location Address
First Line : 3425 NORTH BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3676
Country : US
Telephone Number : 318-442-2339
Fax Number : 318-442-2340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 02/10/2022

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