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NPI Code Detail

MEDICARE: DR. YADIRA PEREZ MD

MEDICARE: DR. YADIRA 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
1208D00000XGeneral Practice Physician16970PR

General Provider Information

NPI Number : 1881875029
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YADIRA PEREZ MD
Provider Business Mailing Address
First Line : 121 S ORANGE AVE STE 940
Second Line :
City : ORLANDO
State : FL
Zip : 32801-3234
Country : US
Telephone Number : 407-658-9687
Fax Number : 407-658-9688
Provider Business Practice Location Address
First Line : 790 BUENAVENTURA BLVD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34743-8128
Country : US
Telephone Number : 407-344-9959
Fax Number : 407-344-9971
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2007
Last Update Date : 03/07/2023

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Directions to “ DR. YADIRA PEREZ MD” Practice Location

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