Individual
DR. CARLOS D PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
958 CALLE CECILIO LEBRON, SAN JUAN, PR 00924-3512
(787) 746-0757
(787) 746-0757
Mailing address
958 CALLE CECILIO LEBRON, SAN JUAN, PR 00924-3512
(787) 746-0757
(787) 746-0757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1655
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4141499PE
SSS PROVIDER ID
PR
Enumeration date
02/13/2006
Last updated
03/13/2017
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