Provider Demographics
NPI:1154100139
Name:PEREZ NOGUEIRA, FRANK REINALDO (MD)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:REINALDO
Last Name:PEREZ NOGUEIRA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:REINALDO
Other - Last Name:PEREZ NOGUEIRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:#8C LUZ CELENIATIRADO
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683
Mailing Address - Country:US
Mailing Address - Phone:877-892-5300
Mailing Address - Fax:
Practice Address - Street 1:#8 C. LUZ CELENIA TIRADO
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:877-892-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI23457246ZC0007X
PR2143-P.A363A00000X
PR024234208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant