| Hector F Perez Md Pc | |
|
5717 So Anthony Ste 500 Fort Wayne IN 46806 | |
| (260) 441-3262 | |
| (260) 447-8657 |
| Full Name | Hector F Perez Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5717 So Anthony, Fort Wayne, Indiana |
| Authorized Official Name and Position | Hector Francisco Perez (PRESIDENT OWNER) |
| Authorized Official Contact | 2604413262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hector F Perez Md Pc 5717 So Anthony Ste 500 Fort Wayne IN 46806 Ph: (260) 441-3262 | Hector F Perez Md Pc 5717 So Anthony Ste 500 Fort Wayne IN 46806 Ph: (260) 441-3262 |
| NPI Number | 1376711267 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 09/21/2011 |
| Medicare PECOS PAC ID | 0749252724 |
|---|---|
| Medicare Enrollment ID | O20040810000953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376711267 | NPI | - | NPPES |
| 200395340A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01044945 (Indiana) | Primary |
| Provider Name | Hector F Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952385866 PECOS PAC ID: 2961474945 Enrollment ID: I20111207000344 |
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