Provider Demographics
NPI:1104972728
Name:PEREZ-VELEZ, CARLOS MARIO (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:MARIO
Last Name:PEREZ-VELEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9118 E SMOKE RISE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-6501
Mailing Address - Country:US
Mailing Address - Phone:203-482-8450
Mailing Address - Fax:
Practice Address - Street 1:2980 E AJO WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-6267
Practice Address - Country:US
Practice Address - Phone:520-247-9594
Practice Address - Fax:202-941-0925
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ48046207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease