| Juan J Perez Ruiz Md A Professional Medical Corporation | |
|
155 Hospital Dr Suite 101 Lafayette LA 70503-2852 | |
| (337) 234-8018 | |
| (337) 235-0360 |
| Full Name | Juan J Perez Ruiz Md A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 155 Hospital Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Juan J Perez Ruiz (OWNER) |
| Authorized Official Contact | 3372348018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan J Perez Ruiz Md A Professional Medical Corporation 155 Hospital Dr Suite 101 Lafayette LA 70503-2852 Ph: (337) 234-8018 | Juan J Perez Ruiz Md A Professional Medical Corporation 155 Hospital Dr Suite 101 Lafayette LA 70503-2852 Ph: (337) 234-8018 |
| NPI Number | 1538483938 |
|---|---|
| Provider Enumeration Date | 03/15/2010 |
| Last Update Date | 03/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538483938 | NPI | - | NPPES |
| 1492558 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 022070 (Louisiana) | Primary |
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