| Dr Humberto Perez, MD | |
|
6450 38th Ave N Ste 300, St Petersburg, FL 33710-1649 | |
| (727) 300-1845 | |
| (727) 800-9308 |
| Full Name | Dr Humberto Perez |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 6450 38th Ave N Ste 300, St Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215130943 | NPI | - | NPPES |
| ME65613 | Other | FL | ME65613 |
| 000181200 | Medicaid | FL | |
| ME65613 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME65613 (Florida) | Primary |
| Entity Name | Primary Healthcare Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063544963 PECOS PAC ID: 4183606601 Enrollment ID: O20040607000910 |
| Entity Name | Jai Ho |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609321454 PECOS PAC ID: 7214233576 Enrollment ID: O20180817001214 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Humberto Perez, MD 10101 Hamlin Blvd, Seminole, FL 33776-1046 Ph: (813) 766-0912 | Dr Humberto Perez, MD 6450 38th Ave N Ste 300, St Petersburg, FL 33710-1649 Ph: (727) 300-1845 |
Nandkishor Shah, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 6450 38th Ave N, Suite# 100, St Petersburg, FL 33710 Phone: 727-347-2780 Fax: 727-347-5508 | |
Francisco Jesus Rey, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 Park St N Ste 7w, St Petersburg, FL 33709 Phone: 727-202-8140 Fax: 727-202-8252 | |
David A. Weiland Jr., M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 Fax: 727-893-6930 | |
Dr. Rakesh Mittal, MD, PHD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5880 49th St N, Suite N105, St Petersburg, FL 33709 Phone: 727-527-0797 Fax: 727-528-7703 | |
Dr. Lilian Enyonam Ahiable, M.D Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 7111 1st Ave S, St Petersburg, FL 33707 Phone: 727-300-2282 Fax: 727-321-2680 | |
Dr. Alia Celeste Sommerville, D.O., MSC. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 49th St N, Northside Hospital, St Petersburg, FL 33709 Phone: 727-521-5057 Fax: 727-521-5022 | |
Kayla Marie Worthington, DO Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3520 38th Ave N, St Petersburg, FL 33713 Phone: 727-471-5039 Fax: 727-471-6446 |