Individual
JOSE PEREZ TAMAYO
Active
Individual
JOSE PEREZ TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7197358-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092616
—
IL
01
—
1003172
DESERET MUTUAL BENEFIT ADMINISTRATORS
UT
01
—
107072555101
SELECTHEALTH
UT
01
—
107072555102
SELECTHEALTH
UT
01
—
10937612600001
BLUE CROSS AND BLUE SHIELD OF UTAH
UT
01
—
10937612601001
BLUE CROSS AND BLUE SHIELD OF UTAH
UT
01
—
1093761264
UNIVERSITY OF UTAH HEALTH PLANS
UT
01
—
P00681087
RR MEDICARE
UT
01
—
P00684779
RR MEDICARE
UT
Enumeration date
05/26/2006
Last updated
08/04/2026
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