Organization
CENTER FOR UROGYNECOLOGY & ADVANCED LAPAROSOCPIC SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL J PEREZ M.D. (PRESIDENT)
(305) 665-2060
Entity
Organization
Contact information
Practice address
7000 SW 62ND AVE, SUITE 545-A, SOUTH MIAMI, FL 33143-4724
(305) 665-2060
(305) 665-4090
Mailing address
7000 SW 62ND AVE, SUITE 545-A, SOUTH MIAMI, FL 33143-4724
(305) 665-2060
(305) 665-4090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME75777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270645800
—
FL
Enumeration date
08/30/2006
Last updated
03/18/2009
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