# JUAN J PEREZ RUIZ MD A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538483938
- **Authorized official:** JUAN J PEREZ RUIZ MD (OWNER)
- **Authorized official phone:** (337) 234-8018

## Contact information

- **Practice address:** 155 HOSPITAL DR, SUITE 101, LAFAYETTE, LA 70503-2852
- **Practice address phone:** (337) 234-8018
- **Practice address fax:** (337) 235-0360
- **Mailing address:** 155 HOSPITAL DR, SUITE 101, LAFAYETTE, LA 70503-2852
- **Mailing address phone:** (337) 234-8018
- **Mailing address fax:** (337) 235-0360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 022070 | LA | Yes |

## Other

- **Enumeration date:** 03/15/2010
- **Last updated:** 03/15/2010