Individual
VICENTE O PEREZ JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CEDAR ST SE STE 46304TH, PMG CEDAR ENDOCRINOLOGY, ALBUQUERQUE, NM 87106-4917
(505) 563-6400
(505) 563-6409
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20030028
NM
Other
Enumeration date
10/03/2006
Last updated
07/15/2008
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