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Organization
RAIZA PEREZ MD PA
Active
Organization
RAIZA PEREZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAIZA PEREZ MD (PRESIDENT PHYSICIAN)
(305) 412-3121
Entity
Organization
Contact information
Practice address
9260 SW 72 ST, SUITE 205, MIAMI, FL 33173
(305) 412-3121
(305) 412-3124
Mailing address
9260 SW 72 ST, SUITE 205, MIAMI, FL 33173
(305) 412-3121
(305) 412-3124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170136
HUMANA
—
01
—
296910
AETNA
—
01
—
64076
BLUECROSS BLUE SHIELD
FL
01
—
7673751
AVMED
—
01
—
9289124
CIGNA
—
Enumeration date
02/14/2006
Last updated
02/03/2010
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