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NPI Code Detail

MEDICARE: DR. CARLOS R PEREZ MD

MEDICARE: DR. CARLOS R 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
1207R00000XInternal Medicine Physician25MA11022200NJ

General Provider Information

NPI Number : 1942791728
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS R PEREZ MD
Provider Business Mailing Address
First Line : 534 21ST AVE
Second Line :
City : PATERSON
State : NJ
Zip : 07513-1337
Country : US
Telephone Number : 973-925-5400
Fax Number : 972-925-5403
Provider Business Practice Location Address
First Line : 534 21ST AVE
Second Line :
City : PATERSON
State : NJ
Zip : 07513-1337
Country : US
Telephone Number : 973-925-5400
Fax Number : 972-925-5403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2018
Last Update Date : 04/26/2022

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

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