Individual
DR. PEDRO ISAAC PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601
(218) 333-5000
(218) 333-5360
Mailing address
PO BOX 2010, FARGO, ND 58122-0001
(701) 234-1113
(701) 234-2045
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2018-00258
NC
207P00000X
Emergency Medicine Physician
308613
LA
207P00000X
Emergency Medicine Physician
Primary
ME83707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266176400
—
FL
01
—
57680
BLUE SHIELD
FL
Enumeration date
06/16/2006
Last updated
02/13/2019
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