MEDICARE: SATIN PEREZ D.C.

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	111N00000X	Chiropractor	1537	LA

General Provider Information

NPI Number	:	1770812356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SATIN PEREZ D.C.

Provider Business Mailing Address
First Line	:	212 EMILY CIR
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6756
Country	:	US
Telephone Number	:	337-739-2280
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 EMILY CIR
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6756
Country	:	US
Telephone Number	:	337-739-2280
Fax Number	:

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

Provider Enumeration Date	:	12/10/2009
Last Update Date	:	03/17/2010

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Directions to “ SATIN PEREZ D.C.” Practice Location

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