Individual
DR. IVAN J PEREZ VICENTE
Active
Individual
DR. IVAN J PEREZ VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
37176
PR
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
3019459
MA
208VP0014X
Interventional Pain Medicine Physician
Primary
25103
PR
Other
Enumeration date
08/12/2019
Last updated
08/09/2026
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