IndividualActive
Adrian Moreno Perez, PA-C
NPI 1275404055 · Physician Assistant · Hamtramck, MI
Provider details
- NPI number
- 1275404055
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5601013478 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4420 E Davison St
Hamtramck, MI 48212-1744
Phone: (313) 369-1500
Approximate (ZIP-level) locationGet directions
Mailing address
18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020
Registry dates
- Enumerated
- 2025-09-15
- Last updated
- 2025-12-23
- Certified
- 2025-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.