Individual provider · Type 1 NPI
Lissette Enid Perez, MD
General Practice Physician · Comerio, PR
NPI number
1780679597
Active
Practice location
1A Calle Jose De Diego
Comerio, PR 00782-2532
Fax (787) 875-0330
Mailing address
19 Urb. Treasure Island Gardens
Cidra, PR 00739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 12185 (PR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1780679597
Lissette Enid Perez, MD's National Provider Identifier is 1780679597, issued on Sep 19, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Comerio, PR. The record was last updated on Jun 25, 2010.