Doctor Name: | DR. SOTERO ELIAS PERALTA |
NPI Number: | 1295933448 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 35.096964 |
Business Practice Address: | 12300 Mccracken Rd Ste 351 Garfield Heights, OH - 441252914 |
Business Phone Number: | 2165810500 |
Business Fax Number: | |
Mailing Address: | 12300 Mccracken Rd Ste 351, GARFIELD HEIGHTS |
State: | OH |
Postal Code: | 441252914 |
Phone Number: | 2165810500 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 35.096964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |