MR. ROLANDO PEREZ IMG LSA NPI 1861593592

NPI Information

NPI: 1861593592
Provider Name: MR. ROLANDO PEREZ, IMG, LSA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1491 STONY CREEK WAY
APT 2
ROCKFORD, IL
ZIP 61108
Phone: (832) 425-5634
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MR. Rolando Perez, IMG, LSA is a surgical physician assistant in Rockford, IL. MR. Rolando Perez, IMG, LSA NPI is 1861593592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1491 STONY CREEK WAY
APT 2
ROCKFORD, IL
ZIP 61108-210
Phone: (832) 425-5634

The enumeration date for this NPI number is 9/26/2006 and was last updated on 11/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207T00000X	Neurological Surgery		SA00087	TEXAS	No
2	363AS0400X	Physician Assistant	Surgical	SA00087	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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