Individual
MR. BENJAMIN MANZANO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-6611
Mailing address
325 ELLINGTON BLVD, GAITHERSBURG, MD 20878-4591
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R208401
MD
207Q00000X
Family Medicine Physician
R208401
MD
363L00000X
Nurse Practitioner
9268
MN
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0031666
OH
363L00000X
Nurse Practitioner
R208401
MD
Other
Enumeration date
07/21/2021
Last updated
10/24/2023
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