| Doctor Name: | DR. RENE PEREZ |
| NPI Number: | 1790096600 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS11485 |
| Business Practice Address: | 1108 Kane Concourse Ste 302 Bay Harbor Islands, FL - 331540049 |
| Business Phone Number: | 3057673748 |
| Business Fax Number: | |
| Mailing Address: | 12444 Sw 197th Ter, MIAMI |
| State: | FL |
| Postal Code: | 331774987 |
| Phone Number: | 7863737975 |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2010 |
| NPI Last Update Date: | 08/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS11485 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |