Individual
DR. BOLIVAR ALBERTO PEREZ-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10060 NW 7TH ST, PEMBROKE PINES, FL 33024-6158
(954) 606-0110
(954) 495-4162
Mailing address
6100 BLUE LAGOON DR STE 365, MIAMI, FL 33126-7010
(786) 322-7333
(786) 347-5022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002995
NY
207R00000X
Internal Medicine Physician
Primary
ME111897
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014027400
—
FL
Enumeration date
01/02/2008
Last updated
01/25/2023
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