| Humberto T Perez Md Pc | |
|
646 Jersey Ave Jersey City NJ 07302-2014 | |
| (201) 656-5711 | |
| (201) 656-6354 |
| Full Name | Humberto T Perez Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 646 Jersey Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Humberto Tomas Perez (PHYSICIAN) |
| Authorized Official Contact | 2016565711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humberto T Perez Md Pc 646 Jersey Ave Jersey City NJ 07302-2014 Ph: (201) 656-5711 | Humberto T Perez Md Pc 646 Jersey Ave Jersey City NJ 07302-2014 Ph: (201) 656-5711 |
| NPI Number | 1629361290 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 05/16/2011 |
| Medicare PECOS PAC ID | 1658557046 |
|---|---|
| Medicare Enrollment ID | O20110519000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629361290 | NPI | - | NPPES |
| 3804607 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA02353300 (New Jersey) | Primary |
| Provider Name | Humberto T Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326121872 PECOS PAC ID: 3173652013 Enrollment ID: I20100602000396 |
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