Doctor Name: | CARMEN PEREZ |
NPI Number: | 1043469877 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 036.123617 |
Business Practice Address: | 1101 Michigan Ave Logansport, IN - 469471528 |
Business Phone Number: | 5747531767 |
Business Fax Number: | |
Mailing Address: | 1101 Michigan Ave, LOGANSPORT |
State: | IN |
Postal Code: | 469471528 |
Phone Number: | 5747531767 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2008 |
NPI Last Update Date: | 04/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | 036.123617 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |