Individual
DR. LORENA DEL MILAGRO PEREZ POVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 658-1511
(325) 659-0180
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N8335
TX
207RI0200X
Infectious Disease Physician
Primary
N8335
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8CS953
BCBS
TX
Enumeration date
05/22/2007
Last updated
06/30/2011
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