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NPI Code Detail

MEDICARE: MR. GIANCARLO PEREZ M.D.

MEDICARE: MR. GIANCARLO PEREZ M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207T00000XNeurological Surgery PhysicianME132542FL

General Provider Information

NPI Number : 1750601266
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GIANCARLO PEREZ M.D.
Provider Business Mailing Address
First Line : 7100 W 20TH AVE STE 504
Second Line :
City : HIALEAH
State : FL
Zip : 33016-1824
Country : US
Telephone Number : 305-823-8510
Fax Number : 305-823-8530
Provider Business Practice Location Address
First Line : 7100 W 20TH AVE STE 504
Second Line :
City : HIALEAH
State : FL
Zip : 33016-1824
Country : US
Telephone Number : 305-823-8510
Fax Number : 305-823-8530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2010
Last Update Date : 07/21/2022

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