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Provider Information for 1447764931



DR. REINALDO PEREZ DMD

Gender: MALE

Individual NPI: 1447764931

Calendar Last Updated: 2018-04-07

Details

Name Value
NPI 1447764931
Enumeration Date 2017-11-20
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 5941 NW 193RD ST
HIALEAH, FL 33015-5023
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 2716 W ATLANTIC BLVD
POMPANO BEACH, FL 33069-2551
United States

Phone: 305-772-4216 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice FL DN22768