DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ISMAEL PEREIRA, PA-C

Active

ISMAEL PEREIRA, PA-C is a 202K00000X healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1568913911 is currently active in the NPPES registry. Verify at CMS.

202K00000X · ALBUQUERQUE, NM

Registration Details

NPI Number
1568913911
Provider Type
Individual
Gender
Male
NPI Issued
Oct 20, 2016 (9.8055145308798 yrs)
Last Updated
Jul 28, 2022
Licenses
PA20160096 (NM)
PA2016-0096 (NM)

Practice Information

Address
4600 MONTGOMERY BLVD NE # B
ALBUQUERQUE, NM, 87109
Browse NM providers · Browse ZIP 87109
Phone
5059245840
Fax
5059245841
Primary Specialty
202K00000X
202K00000X
Additional Specialty
202K00000X

Other 202K00000X Providers in ALBUQUERQUE, NM

Name Credential NPI
KEVIN GOODLUCK MD 1710071196
MICHAEL HARDING MD 1700970183
CHANDRAN VEDAMANIKAM M.D. 1154585990
CHRISTINE SAUNDERS PA 1437591823
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.