Juan J Perez Ruiz M.D. A Professional Medical Corporation
Clinic/Center in Lafayette, LA. Organization (NPI-2).
NPI number1457501686
StatusActive
Last updated in NPPESMay 7, 2013
Details
- NPI
- 1457501686
- Entity type
- Organization (NPI-2)
- Legal business name
- Juan J Perez Ruiz M.D. A Professional Medical Corporation
- Organization subpart
- No
- Enumeration date
- Sep 24, 2008
- Last updated
- May 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 022070 | LA | Yes |
Practice location
461 Heymann BlvdLafayette, LA 70503-2616
Phone 337-289-8717 · Fax 337-289-8718
Mailing address
461 Heymann BlvdLafayette, LA 70503-2616
Phone 337-289-8717 · Fax 337-289-8718
Authorized official
Juan Jose Perez Ruiz
Owner
3372898717
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