Active NPIIndividual provider

Alynna Mariz S Perez, MD

Student in an Organized Health Care Education/Training Program in Bangor, Maine

NPI Number1417636390
Practice location
895 Union St Ste 12, Bangor, ME 04401-3054
Fax
207-947-9579
Last updated
June 24, 2026

Alynna Mariz Samala Perez is a Student in an Organized Health Care Education/Training Program based in Bangor, ME. Alynna Mariz Samala Perez practices in Bangor, ME and has the professional credentials of MD. The NPI Number for Alynna Mariz Samala Perez is 1417636390 and holds a License No. 38128 (NH). The current practice location address for Alynna Mariz Samala Perez is 895 Union St Ste 12, Bangor, ME 04401-3054 and can be reached out via phone at 207-973-7979 and via fax at 207-947-9579.

Provider Profile Details

NPI Number
1417636390
Provider Name
Alynna Mariz Samala Perez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
895 Union St Ste 12, Bangor, ME 04401-3054
Phone Number
207-973-7979
Fax Number
207-947-9579
Sole Proprietor
No
Provider Enumeration Date
July 17, 2023
Last Update Date
June 24, 2026
Certification Date
June 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
895 Union St Ste 12
Bangor, ME 04401-3054
City
Bangor
State
Maine
Zip
04401-3054
Phone Number
207-973-7979
Fax Number
207-947-9579
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
250 Pleasant St
Concord, NH 03301-2598
City
Concord
State
NH
Zip
03301-2598
Phone Number
603-227-7000
Fax Number
603-230-7405

License Information

License Number (1)
38128
License State (1)
NH
Taxonomy (1)
Family Medicine · 207Q00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alynna Mariz S Perez, MD?

The NPI number of Alynna Mariz S Perez, MD is 1417636390. It was assigned on July 17, 2023 and is currently active in the NPPES registry.

What is the specialty of Alynna Mariz S Perez, MD?

Alynna Mariz S Perez, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in NH under license number 38128.

Where does Alynna Mariz S Perez, MD practice?

The practice location is 895 Union St Ste 12, Bangor, ME 04401-3054. The office can be reached at 207-973-7979 (phone) or 207-947-9579 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417636390 directly on the NPPES registry website.

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