Juan Manuel Perez, M.D.
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Southfield, MI
NPI 1760445878 · NPPES record last updated Jan 20, 2012
Key facts
- NPI
- 1760445878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 5315028244 (MI)
- Practice address
- 24445 Northwestern Hwy
Suite 206
Southfield, MI 48075-6501 - Phone
- (248) 799-0086
- Fax
- (248) 350-1178
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315028244 | MI | MD | Geriatric Medicine (Internal Medicine) Physician |
| 4696 | PR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthland Housecall Services LLC | Geriatric Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4696 | PR | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 5315028244 | MI | Yes |
Addresses
Primary practice location
24445 Northwestern Hwy
Suite 206
Southfield, MI 48075-6501
Mailing address
24445 Northwestern Hwy
Suite 206
Southfield, MI 48075-6501
Phone (248) 799-0086
Other names
- Dr. Juan Manuel Perez Mendez
Other providers in Southfield, MI
- Edward Percy
- Ania Perdue
- Ishan Ransika Perera
- Cameron Aaron Peres
- Andrea Perez
- Rommel Ramos Perez
- Perfect Body
- Performance Orthopedics of Michigan PLLC
- Jasmine Perin
- Jacquelyn Perkins
All providers in Southfield, MI · Geriatric Medicine (Internal Medicine) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.