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Individual
DR. JUAN RODRIGO PEREZ
Active
Individual
DR. JUAN RODRIGO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L9425
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1683351-01
—
TX
01
—
201389499
TAX ID
TX
01
—
8P9370
BCBS
TX
Enumeration date
07/08/2005
Last updated
05/02/2016
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