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Individual
SAMMIR PEREZ SANJUANELO
Active
Individual
SAMMIR PEREZ SANJUANELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
271399
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082399600
MEDICAL ASSISTANCE
MD
01
—
1209422
AMERICHOICE
MD
01
—
F4890001
CREFIRST
DC
01
—
FTX6EF65039006
CAREFIRST
MD
Enumeration date
05/24/2013
Last updated
06/13/2025
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