# DR. RAPHAEL E PEREZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1164545992
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3418 | FL | Yes |

## Other

- **Enumeration date:** 04/08/2007
- **Last updated:** 03/12/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 257423300 | — | FL |
| 05 | — | 257423301 | — | FL |