Individual
CLAUDIA ELIZABETH PEREZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MALLARD CREEK RD STE 320, LOUISVILLE, KY 40207-5136
(502) 690-8782
(502) 459-0923
Mailing address
100 MALLARD CREEK RD STE 320, LOUISVILLE, KY 40207-5136
(502) 690-8782
(502) 459-0923
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18529
NH
207L00000X
Anesthesiology Physician
238848
MA
207L00000X
Anesthesiology Physician
43743
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084344A
—
MA
01
—
7100143700
KENTUCKY MEDICAID
KY
01
—
K066390
MEDICARE PTAN
KY
Enumeration date
10/25/2008
Last updated
08/06/2023
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