MEDICARE: FRANCISCO PERAZA MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363AM0700X	Medical Physician Assistant
2	363L00000X	Nurse Practitioner
3	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1699962431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCO PERAZA MD PC

Provider Business Mailing Address
First Line	:	PO BOX 26568
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89126-0568
Country	:	US
Telephone Number	:	702-732-7440
Fax Number	:	702-732-9672

Provider Business Practice Location Address
First Line	:	5781 W SAHARA AVE STE 500
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3168
Country	:	US
Telephone Number	:	702-331-1700
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANCISCO PERAZA
Credential	:	MD
Telephone Number	:	702-732-7440

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	09/13/2012

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