Doctor Name: | MS. ELVIRA ESTHER PEREZ PEREZ |
NPI Number: | 1902139587 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 17647 |
Business Practice Address: | 205 Dr M L King St N St Petersburg, FL - 337013109 |
Business Phone Number: | 9396455938 |
Business Fax Number: | |
Mailing Address: | 2272 Burgundy Ter, ST PETERSBURG |
State: | FL |
Postal Code: | 337142079 |
Phone Number: | 9396455938 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2009 |
NPI Last Update Date: | 08/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |