Organization
PEREZ & RIVERA P L
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ PEREZ (FINANCIAL MANAGER)
(321) 269-5101
Entity
Organization
Contact information
Practice address
800 CENTURY MEDICAL DR, SUITE A, TITUSVILLE, FL 32796-2151
(321) 269-5101
(321) 269-6871
Mailing address
800 CENTURY MEDICAL DR, SUITE A, TITUSVILLE, FL 32796-2151
(321) 269-5101
(321) 269-6871
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3371883
AETNA GROUP NUMBER
FL
01
—
34973
BCBS FLORIDA GROUP NUMBER
FL
01
—
DA6120
MEDICARE RAILROAD GROUP
FL
Enumeration date
04/26/2006
Last updated
05/07/2008
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