Whalio Doctors

NPI 1003081076

Raul Iluminado Perez, MD

Practitioner Family Medicine Physician Elizabeth, NJ

Practice location

Address
605 S Broad St Unit B, Elizabeth, NJ 07202-2601
Phone
(908) 659-0075
Fax
(908) 469-4300

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 25MA08784100 (NJ)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 16896 (PR)

Registry record

NPI
1003081076
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Apr 2008
Record last updated
19 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.