| Raiza Perez Md Pa | |
|
9260 Sw 72 St Suite 205 Miami FL 33173 | |
| (305) 412-3121 | |
| (305) 412-3124 |
| Full Name | Raiza Perez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9260 Sw 72 St, Miami, Florida |
| Authorized Official Name and Position | Raiza Perez (PRESIDENT PHYSICIAN) |
| Authorized Official Contact | 3054123121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raiza Perez Md Pa 9260 Sw 72 St Suite 205 Miami FL 33173 Ph: (305) 412-3121 | Raiza Perez Md Pa 9260 Sw 72 St Suite 205 Miami FL 33173 Ph: (305) 412-3121 |
| NPI Number | 1841264298 |
|---|---|
| Provider Enumeration Date | 02/14/2006 |
| Last Update Date | 02/03/2010 |
| Medicare PECOS PAC ID | 6305885385 |
|---|---|
| Medicare Enrollment ID | O20050428000898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841264298 | NPI | - | NPPES |
| 7673751 | Other | AVMED | |
| 296910 | Other | AETNA | |
| 9289124 | Other | CIGNA | |
| 64076 | Other | FL | BLUECROSS BLUE SHIELD |
| 170136 | Other | HUMANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Raiza Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538136957 PECOS PAC ID: 9830159110 Enrollment ID: I20041012000596 |
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