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ERNESTO LUCIANO-PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5838 HARBOUR VIEW BLVD, SUITE 100, SUFFOLK, VA 23435-2663
(757) 673-5680
(757) 483-3075
Mailing address
5838 HARBOUR VIEW BLVD, SUITE 100, SUFFOLK, VA 23435-2663
(757) 673-5680
(757) 483-3075

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101046224
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0101046224
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006405231
VA
01
200028240
MEDICARE RR
VA
Enumeration date
07/04/2006
Last updated
07/24/2025
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