Individual
DR. OMAR M PEREZ
Active
Individual
DR. OMAR M PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
01077396A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538398946
NPI
IN
Enumeration date
07/07/2009
Last updated
11/13/2025
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