Organization
BUENA VISTA MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A PEREZ M.D. (OWNER/PHYSICIAN)
(305) 610-2526
Entity
Organization
Contact information
Practice address
11805 SW 46TH ST, MIAMI, FL 33175-4739
(305) 610-2526
(305) 221-5224
Mailing address
11805 SW 46TH ST, MIAMI, FL 33175-4739
(305) 610-2526
(305) 221-5224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG701
GENERAL PRACTICE
FL
Enumeration date
08/08/2006
Last updated
09/30/2020
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