Individual
MARIO FERNANDO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-2200
(860) 679-8300
(860) 679-8344
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
041291
CT
207RP1001X
Pulmonary Disease Physician
041291
CT
207RP1001X
Pulmonary Disease Physician
Primary
MD2024-1021
NM
Other
Enumeration date
02/17/2006
Last updated
02/07/2025
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