Individual
DR. ALTAGRACIA JOSEFINA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA,SU, FOREIGN MD
Contact information
Practice address
1115 SW 11TH AVE, MIAMI, FL 33129-1820
(305) 975-7541
(305) 225-8140
Mailing address
PO BOX 557635, MIAMI, FL 33255-7635
(305) 975-7541
(305) 225-8140
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
012984
NY
246Q00000X
Pathology Specialist/Technologist
Primary
SU41493
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M.D. 3907
FOREIGN M.D. & PATHOLOGIST (DOM. REP.)
—
Enumeration date
12/28/2012
Last updated
07/21/2022
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