Individual
MANUEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 SW 75TH AVE, MIAMI, FL 33155-2805
(305) 264-5252
Mailing address
PO BOX 557249, MIAMI, FL 33255-7249
(305) 264-5252
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME30356
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93780
BLUE CROSS BLUE SHIELD
FL
01
—
P00262636
RAILROAD MEDICARE
FL
Enumeration date
01/30/2007
Last updated
04/01/2008
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