MEDICARE: ZULMA 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	163W00000X	Registered Nurse	RN645194	PA

General Provider Information

NPI Number	:	1700129103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZULMA PEREZ

Provider Business Mailing Address
First Line	:	3029 N HUTCHINSON ST
Second Line	:	APT A
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-1823
Country	:	US
Telephone Number	:	954-822-7519
Fax Number	:

Provider Business Practice Location Address
First Line	:	3029 N HUTCHINSON ST
Second Line	:	APT A
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-1823
Country	:	US
Telephone Number	:	954-822-7519
Fax Number	:

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

Provider Enumeration Date	:	04/03/2013
Last Update Date	:	04/03/2013

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Directions to “ ZULMA PEREZ ” Practice Location

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