Provider Demographics
NPI:1902856552
Name:PEREZ-BATISTA, MARGARITA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:
Last Name:PEREZ-BATISTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12781 BIRD ROAD
Mailing Address - Street 2:SUITE H
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175
Mailing Address - Country:US
Mailing Address - Phone:305-229-3990
Mailing Address - Fax:305-229-3880
Practice Address - Street 1:12781 BIRD ROAD
Practice Address - Street 2:SUITE H
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175
Practice Address - Country:US
Practice Address - Phone:305-229-3990
Practice Address - Fax:305-229-3880
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME28511208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD79925Medicare UPIN