Provider Demographics
NPI:1457245953
Name:PEREZ, CARLOS ARMANDO
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:ARMANDO
Last Name:PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7763 PACEMONT CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-5123
Mailing Address - Country:US
Mailing Address - Phone:702-682-2169
Mailing Address - Fax:
Practice Address - Street 1:7763 PACEMONT CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-5123
Practice Address - Country:US
Practice Address - Phone:702-682-2169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program