Provider Demographics
NPI:1558945469
Name:PEREZ PION, JORGE LUIS (MD)
Entity type:Individual
Prefix:MR
First Name:JORGE
Middle Name:LUIS
Last Name:PEREZ PION
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 1:8181 E TUFTS AVE STE 510
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2580
Mailing Address - Country:US
Mailing Address - Phone:866-782-8393
Mailing Address - Fax:
Practice Address - Street 1:8181 E TUFTS AVE STE 510
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2580
Practice Address - Country:US
Practice Address - Phone:866-782-8393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-06
Last Update Date:2024-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0074289208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice