Individual
DR. CARLOS M PEREZ RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5851
(502) 852-3762
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01087853A
IN
207L00000X
Anesthesiology Physician
56856
KY
207L00000X
Anesthesiology Physician
MD461151
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01087853A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300065179
—
IN
05
—
7100833310
—
KY
Enumeration date
09/02/2010
Last updated
02/08/2024
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