Doctor Name: | ADRIAN PEREZ MEDINA |
NPI Number: | 1891704755 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 13,837 |
Business Practice Address: | Corp. Servicios Medicos Calle Dr. Susoni Num. 121 Hatillo, PR - 00659 |
Business Phone Number: | 7878984190 |
Business Fax Number: | |
Mailing Address: | Paseo Del Campo #8 Carretera 492 Bo. Corcobado, HATILLO |
State: | PUERTO RICO |
Postal Code: | 00659 |
Phone Number: | (787)898 3346 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13,837 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |