MEDICARE: JOSE PEREZ

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	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1659246114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE PEREZ

Provider Business Mailing Address
First Line	:	13916 HIGHLANDVIEW AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44135-1500
Country	:	US
Telephone Number	:	216-482-9637
Fax Number	:

Provider Business Practice Location Address
First Line	:	4763 SOUTHWOOD DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44144-3133
Country	:	US
Telephone Number	:	216-482-9637
Fax Number	:

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

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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Directions to “ JOSE PEREZ ” Practice Location

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