| Blas Perez Md Corp | |
|
18611 Sw 93rd Ave Cutler Bay FL 33157-7945 | |
| (305) 979-5104 | |
| Not Available |
| Full Name | Blas Perez Md Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 18611 Sw 93rd Ave, Cutler Bay, Florida |
| Authorized Official Name and Position | Blas Perez De La Cruz (OWNER) |
| Authorized Official Contact | 3059795104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blas Perez Md Corp 18611 Sw 93rd Ave Cutler Bay FL 33157-7945 Ph: (305) 979-5104 | Blas Perez Md Corp 18611 Sw 93rd Ave Cutler Bay FL 33157-7945 Ph: (305) 979-5104 |
| NPI Number | 1265059810 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 06/30/2020 |
| Medicare PECOS PAC ID | 8820418734 |
|---|---|
| Medicare Enrollment ID | O20201014003594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265059810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Blas Perez De La Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154697258 PECOS PAC ID: 8820318777 Enrollment ID: I20150518001334 |
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