Individual
TIMOTHY W. PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
715 DR MARTIN LUTHER KING NE, STE 301, ALBUQUERQUE, NM 87102-2534
(505) 727-7090
(505) 727-7099
Mailing address
715 DR MARTIN LUTHER KING NE, STE 301, ALBUQUERQUE, NM 87102-2534
(505) 727-7090
(505) 727-7099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
93-126
NM
208600000X
Surgery Physician
Primary
93-126
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16400844
—
NM
Enumeration date
07/27/2006
Last updated
02/16/2016
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