Organization
JUAN J PEREZ RUIZ MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN J PEREZ RUIZ MD (OWNER)
(337) 234-8018
Entity
Organization
Contact information
Practice address
155 HOSPITAL DR, SUITE 101, LAFAYETTE, LA 70503-2852
(337) 234-8018
(337) 235-0360
Mailing address
155 HOSPITAL DR, SUITE 101, LAFAYETTE, LA 70503-2852
(337) 234-8018
(337) 235-0360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022070
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1492558
—
LA
Enumeration date
03/15/2010
Last updated
03/15/2010
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