Individual
DR. IVAN J PEREZ VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
PO BOX 365067, SAN JUAN, PR 00936-5067
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
37176
PR
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
3019459
MA
Other
Enumeration date
08/12/2019
Last updated
07/14/2025
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