Organization Name: | MARCELO R PEREZ-MONTES MD PA |
NPI Number: | 1508036096 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARCELO R PEREZ-MONTES (PRESIDENT) |
Mailing Address: | 4459 Arendell St Ste 1 Morehead City |
State: | NC US |
Postal Code: | 285572795 |
Phone Number: | 2527271709 |
Fax Number: | 2527271710 |
NPI Enumeration Date: | 03/11/2008 |
NPI Last Update Date: | 09/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2005-00424 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |