MEDICARE: JOSE L. PEREZ-BECERRA, M.D., P.A.

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	207W00000X	Ophthalmology Physician		TX

Other Identifiers

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

General Provider Information

NPI Number	:	1679562706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSE L. PEREZ-BECERRA, M.D., P.A.

Provider Business Mailing Address
First Line	:	1327 SW MILITARY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-1538
Country	:	US
Telephone Number	:	210-924-5121
Fax Number	:	210-923-5656

Provider Business Practice Location Address
First Line	:	1327 SW MILITARY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-1538
Country	:	US
Telephone Number	:	210-924-5121
Fax Number	:	210-923-5656

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSE L. PEREZ-BECERRA
Credential	:	M.D.
Telephone Number	:	210-924-5121

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	01/28/2013

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