Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N005554 | NY |
Y | 222Z00000X | Podiatrist | N005554 | NY |
NPI | 1063435972 |
---|---|
Provider Name | Dr. Walter Hernan Perez |
First Address | Brooklyn, NY 11226-5406 |
Second Address | Brooklyn, NY 11226-5406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 30/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0100112305 | AMERICHOICE BY UNITED HEALTH CARE (01) | NY |
010012305 | UNITED HEALTH CARE (01) | NY |
01948030 | (05) | NY |
02519726 | (05) | NY |
10204538 | AMERIGROUP NEW YORK, LLC (01) | NY |
109930101 | HEALTH PLUS (01) | NY |
113513164 | METROPLUS (01) | NY |
170647 | ELDERPLAN (01) | NY |
4C4325 | HEALTH NET (01) | NY |
54N2182 | NHP NEIGHBORHOOD (01) | NY |
6299151 | GHI (01) | NY |
74-3048941 | HORIZON HEALTH CARE (01) | NY |
74-3048941 | MAGNA CARE (01) | NY |
92067 | WELLCARE (01) | NY |
N005554 | HIP (01) | NY |
N005554-A22 | HEALTH FIRST (01) | NY |
P2734169 | OXFORD HEALTH PLAN (01) | NY |
U75069 | (02) | NY |