# CELESTINO M. PEREZ MD SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629198007
- **Authorized official:** CELESTINO M PEREZ MD (PRESIDENT)
- **Authorized official phone:** (262) 284-2636

## Contact information

- **Practice address:** 126 E PIER STREET, PORT WASHINGTON, WI 53074-0006
- **Practice address phone:** (262) 284-2636
- **Practice address fax:** (262) 284-2722
- **Mailing address:** 126 E PIER STREET, P O BOX 6, PORT WASHINGTON, WI 53074-0006
- **Mailing address phone:** (262) 284-2636
- **Mailing address fax:** (262) 284-2722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 20479 | WI | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 03/19/2012