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Leida Pastora Perez

Internal Medicine

Allopathic & Osteopathic Physicians

4815 Alameda Ave, El Paso, TX 79905-2705

PECOS Enrollment

This provider is enrolled in PECOS as LEIDA PEREZ.

Based on the most recent information from CMS, provider Leida Pastora Perez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1083824916
Provider Type
Individual
Full Name
Perez, Leida Pastora
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/22/2007
Last Updated
6/25/2015

Contact Information

Practice Location

4815 Alameda Ave, El Paso, TX 79905-2705

(915) 544-1200

Unlisted Fax

Mailing Location

4815 Alameda Ave, El Paso, TX 79905-2705

(915) 544-1200

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License N4660 Texas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License BP10025663 Texas

Leida Pastora Perez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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