Individual
MS. MARICELA A PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
370 OLD PORT ISABEL RD, BROWNSVILLE, TX 78521-3547
(956) 546-4574
(956) 544-6033
Mailing address
370 OLD PORT ISABEL RD, BROWNSVILLE, TX 78521-3547
(956) 546-4574
(956) 544-6033
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
546744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038021401
—
TX
01
—
80N627
MEDICARE PROVIDER NUMBER
TX
Enumeration date
01/09/2008
Last updated
09/01/2010
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