MEDICARE: DR. STEPHEN HUGO PEREZ DO

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	207Q00000X	Family Medicine Physician	OS14423	FL

General Provider Information

NPI Number	:	1689101933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN HUGO PEREZ DO

Provider Business Mailing Address
First Line	:	10817 OAK BEND WAY
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6175
Country	:	US
Telephone Number	:	786-271-3768
Fax Number	:

Provider Business Practice Location Address
First Line	:	5190 NW 167TH ST STE 109
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-6329
Country	:	US
Telephone Number	:	954-983-9191
Fax Number	:

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

Provider Enumeration Date	:	05/17/2017
Last Update Date	:	03/05/2024

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Directions to “ DR. STEPHEN HUGO PEREZ DO” Practice Location

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