MR. ROLANDO PEREZ


Address: 1491 Stony Creek Way, Apt 2, Rockford, IL 61108-1210
Phone: 8324255634

MR. ROLANDO PEREZ (NPI# 1861593592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861593592
Entity Type Individual
Full Name MR. ROLANDO PEREZ
Credential IMG, LSA
Practice Address 1491 Stony Creek Way
Apt 2
Rockford
IL 61108-1210
Mailing Address Po Box 7546
Rockford
IL 61126-7546
Practice Telephone 8324255634
Mailing Telephone 8324255634
Enumeration Date 2006-09-26
Last Update Date 2012-11-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207T00000X Neurological Surgery SA00087 TX Allopathic & Osteopathic Physicians
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
SA00087 TX Physician Assistants & Advanced Practice Nursing Providers

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1457681165 Rolando Perez Internal Medicine 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 2009-12-31
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1851375224 Rolando Perez Physician Assistant 200 Evans St, Uvalde, TX 78801-5142 2005-11-30
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Office Location

Street Address 1491 STONY CREEK WAY
APT 2
City ROCKFORD
State IL
Zip Code 61108-1210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720286206 Neurex Pllc Physician Assistant 1491 Stony Creek Way, Apt 2, Rockford, IL 61108-1210 2007-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1184085201 Integrative Healing Center, LLC Clinic/Center 6019 Fincham Drive, Rockford, IL 61108 2016-03-17
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1023489853 Nicole Ping Ticknor Counselor 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 2015-10-20
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1871925446 Maria Laura Gustafson Interpreter 3208 Wesleyan Ave., Rockford, IL 61108 2013-08-06
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1134466923 James Henry Peck Hearing Instrument Specialist 2424 Charles St, Rockford, IL 61108 2013-01-14
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326525304 Kevin Patrick Peters Physician Assistant 5666 E State St, Rockford, IL 61108-2425 2018-07-23
1598217168 Cindy Giurgiu Physician Assistant 5666 E State St, Rockford, IL 61108-2425 2016-10-31
1447682703 Patrick Hoffmann Physician Assistant 5666 E State St, Rockford, IL 61108-2425 2013-08-08
1720286206 Neurex Pllc Physician Assistant 1491 Stony Creek Way, Apt 2, Rockford, IL 61108-1210 2007-07-06
1629177647 Daniel A Bentley Physician Assistant 1401 E State St, Rockford, IL 61104-2315 2006-09-22

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1710547625 Nadia Khan Physician Assistant 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 2019-06-13
1962065516 Jorge Mantilla Physician Assistant 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 2019-04-18
1013479955 Leah Rae Prager Physician Assistant 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 2019-04-01
1770041949 Laura Ann Ryan Physician Assistant 840 S Wood St Ste 417, Chicago, IL 60612-4325 2019-03-06
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Competitor

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City ROCKFORD
Zip Code 61108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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