Doctor Name: | ORLANDO PERAZA |
NPI Number: | 1043308109 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0019976 |
Business Practice Address: | 2455 Sw 27th Ave Suite 110 Miami, FL - 331453663 |
Business Phone Number: | 3052850888 |
Business Fax Number: | 3052851423 |
Mailing Address: | 9811 Sw 20th St, MIAMI |
State: | FL |
Postal Code: | 331657606 |
Phone Number: | 3052850888 |
Fax Number: | 3052851423 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0019976 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |