Provider Demographics
NPI:1386130151
Name:PEREZ RUIZ, CARLOS ANDRES (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ANDRES
Last Name:PEREZ RUIZ
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 1:933 PLEASANTON RD STE 109
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78214-1657
Mailing Address - Country:US
Mailing Address - Phone:210-395-3395
Mailing Address - Fax:
Practice Address - Street 1:933 PLEASANTON RD STE 109
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78214-1657
Practice Address - Country:US
Practice Address - Phone:210-395-3395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT5003207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine