Individual
DR. MARTHA REGINA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10300 SW 216TH ST, MIAMI, FL 33190-1003
(305) 253-5100
Mailing address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 253-5100
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME 84843
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066769200
—
FL
Enumeration date
01/09/2006
Last updated
01/12/2017
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