NPI 1134414329 · live from the CMS NPI Registry
Aixsa Perez M D P C
Family Medicine in Osceola, IN. National Provider Identifier 1134414329, active.
NPI record
| NPI | 1134414329 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1712 Lincolnway W, Suite A, Osceola, IN 46561 |
| Practice phone | 574-675-9630 |
| Enumerated | June 15, 2011 |
| Last updated | June 15, 2011 |
| Authorized official | Aixsa Perez, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 01049434A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.