Doctor Name: | DR. JUAN PERAZA GARCIA |
NPI Number: | 1598896383 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 3208 |
Business Practice Address: | Ave Ventura Gandarilla 258 Arecibo, PR - 00612 |
Business Phone Number: | 7878784150 |
Business Fax Number: | |
Mailing Address: | Po Box 1301, ARECIBO |
State: | PR |
Postal Code: | 006131301 |
Phone Number: | 7878784150 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 3208 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |