MEDICARE: DR. CARLOS M PEREZ MD

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	207V00000X	Obstetrics & Gynecology Physician	097912	NY

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	:	1760465371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS M PEREZ MD

Provider Business Mailing Address
First Line	:	1145 TARGEE STREET
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304
Country	:	US
Telephone Number	:	718-668-6900
Fax Number	:	718-668-6900

Provider Business Practice Location Address
First Line	:	1704 MERMAID AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-2622
Country	:	US
Telephone Number	:	718-265-0900
Fax Number	:	718-265-6319

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

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	06/06/2014

Similar Medicare Providers

1205896040 — ANATOLY STAROSTA
Practice Location Address:

1704 MERMAID AVE
BROOKLYN, NY
11224-2622

Practice Phone: 718-265-0900
Practice Fax:

1053379362 — MERMAID OPERATING CO, LLC
Practice Location Address:

1704 MERMAID AVE
BROOKLYN, NY
11224-2622

Practice Phone: 718-265-0900
Practice Fax: 718-265-6319

1659478584 — BALAJI PHARMACY INC
Practice Location Address:

1708 MERMAID AVE
BROOKLYN, NY
11224-2622

Practice Phone: 718-996-9000
Practice Fax: 718-449-5106

1255654851 — MOHAN TALAMATI RPH
Practice Location Address:

1708 MERMAID AVE
BROOKLYN, NY
11224-2622

Practice Phone: 718-996-9000
Practice Fax:

1962793273 — MERMAID MANAGEMENT INC
Practice Location Address:

1704 06 MERMAID AVENUE
BROOKLYN, NY
11224-2622

Practice Phone: 718-265-0900
Practice Fax: 718-265-6319

1902436728 — CONEY ISLAND MEDICAL DIAGNOSTIC SERVICES P C
Practice Location Address:

1704 MERMAID AVE STE 6
BROOKLYN, NY
11224-2622

Practice Phone: 516-567-5410
Practice Fax:

Directions to “ DR. CARLOS M PEREZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.