| Wilmer Perez Md Pc | |
|
405 W 15th St # 400 Pueblo CO 81003 | |
| (719) 542-5864 | |
| (719) 544-8450 |
| Full Name | Wilmer Perez Md Pc |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 405 W 15th St, Pueblo, Colorado |
| Authorized Official Name and Position | Wilmer Perez (OWNER PHYSICIAN) |
| Authorized Official Contact | 7195425864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilmer Perez Md Pc 405 W 15th St # 400 Pueblo CO 81003 Ph: (719) 542-5864 | Wilmer Perez Md Pc 405 W 15th St # 400 Pueblo CO 81003 Ph: (719) 542-5864 |
| NPI Number | 1730100769 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730100769 | NPI | - | NPPES |
| 66508053 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | CO026305 (Colorado) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | CO026305 (Colorado) | Primary |
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