Pinero Peraza, Jose Manuel

Pinero Peraza, Jose Manuel is an sole proprietor health care provider with primary practice located at 224 Se 24Th St , Gainesville FL 32641-7516. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Pinero Peraza, Jose Manuel can be contacted via phone (352) 334-7910.

Contact Information

Primary practice address
224 Se 24Th St Gainesville FL 32641-7516
Fax: (352) 334-7957
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 12816 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN547 Florida

Profile Details

NPI number 1457458887
LBN Legal business name Pinero Peraza, Jose Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jan 15th, 2016 - 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 1457458887 NPPES
Florida MEDICAID 012593000

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