Organization
JUAN J PEREZ RUIZ M.D. A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN JOSE PEREZ RUIZ M.D. (OWNER)
(337) 289-8717
Entity
Organization
Contact information
Practice address
461 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 289-8717
(337) 289-8718
Mailing address
461 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 289-8717
(337) 289-8718
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
022070
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1492558
—
LA
01
—
1821106261
NPI INDIVIDUAL
—
Enumeration date
09/24/2008
Last updated
05/07/2013
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