Perez, Altagracia Josefina

Perez, Altagracia Josefina is an sole proprietor health care provider with primary practice located at 1115 Sw 11Th Ave , Miami FL 33129-1820. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology, which is considered as her primary health care specialty. Perez, Altagracia Josefina can be contacted via phone (305) 975-7541.

Contact Information

Primary practice address
1115 Sw 11Th Ave Miami FL 33129-1820
Phone: (305) 975-7541
Fax: (305) 225-8140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology 246Q00000X 012984 New York
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology 246Q00000X SU41493 Florida

Profile Details

NPI number 1861738585
LBN Legal business name Perez, Altagracia Josefina
Credentials PA,SU, FOREIGN MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2012
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861738585 NPPES
Other M.D. 3907 FOREIGN M.D. & PATHOLOGIST (DOM. REP.)

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