| Javier Perez Md Pa | |
|
777 E 25th St Suite 102 Hialeah FL 33013-3825 | |
| (305) 836-6646 | |
| (305) 836-4722 |
| Full Name | Javier Perez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 777 E 25th St, Hialeah, Florida |
| Authorized Official Name and Position | Javier Perez (PRESIDENT) |
| Authorized Official Contact | 3058366646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Javier Perez Md Pa 1602 Alton Road Pmb # 84 Miami Beach FL 33139-2421 Ph: (305) 836-6646 | Javier Perez Md Pa 777 E 25th St Suite 102 Hialeah FL 33013-3825 Ph: (305) 836-6646 |
| NPI Number | 1609012749 |
|---|---|
| Provider Enumeration Date | 12/19/2008 |
| Last Update Date | 02/24/2009 |
| Medicare PECOS PAC ID | 5092870550 |
|---|---|
| Medicare Enrollment ID | O20090217000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609012749 | NPI | - | NPPES |
| 052964800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME55359 (Florida) | Primary |
| Provider Name | Javier Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821067299 PECOS PAC ID: 1951466408 Enrollment ID: I20090217000126 |
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