Individual
RAUL HENRIQUE PORTO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8900 N KENDALL DR FL 1, MIAMI, FL 33176-2118
(786) 596-1289
Mailing address
3400 SPRUCE ST STE 130, PHILADELPHIA, PA 19104-4238
(215) 662-3264
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME169789
FL
Other
Enumeration date
07/19/2021
Last updated
09/05/2024
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