Perez-Rodriguez, Mario Rene

Perez-Rodriguez, Mario Rene is an individual health care provider with primary practice located at 1239 Us Highway 27 Four Corners Area, Clermont FL 34714-8910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Perez-Rodriguez, Mario Rene can be contacted via phone (352) 243-3555.

Contact Information

Primary practice address
1239 Us Highway 27 Four Corners Area Clermont FL 34714-8910
Phone: (352) 243-3555
Fax: (352) 243-6614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME72969 Florida

Profile Details

NPI number 1528052420
LBN Legal business name Perez-Rodriguez, Mario Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jan 6th, 2015 - about 9 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 1528052420 NPPES
Florida MEDICAID 277533600
Florida Other 47211
Florida Other 600001577
Florida Other K2472A

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