ALYNNA MARIZ SAMALA PEREZ MD
NPI 1417636390
Student in an Organized Health Care Education/Training Program in Bangor, ME

Active since July 17, 2023PECOS Enrolled
895 UNION ST STE 12, BANGOR, ME 04401(207) 973-7979(207) 947-9579 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alynna Mariz Samala Perez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYNNA MARIZ SAMALA PEREZ MD (NPI 1417636390) is an individual student in an organized health care education/training program provider in Bangor, Maine and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Franklin.Information from the official NPPES registry record, last updated June 24, 2026.

NPPES Registry Identity

NPI1417636390
Entity TypeIndividualFemale
Provider Legal NameALYNNA MARIZ SAMALA PEREZCredential: MD
Location Address895 UNION ST STE 12Bangor, ME 04401-3054
Mailing Address250 Pleasant StConcord, NH 03301-2598 · (603) 227-7000 · Fax (603) 230-7405
Fax(207) 947-9579
Sole ProprietorNo
Enumeration DateJuly 17, 2023
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1417636390 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Student in an Organized Health Care Education/Training Program

Taxonomy 390200000X · Student, Health Care

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also Listed

Family Medicine

Taxonomy 207Q00000X · Allopathic & Osteopathic Physicians

Licensed in NH · 38128
895 UNION ST STE 12, Bangor, ME 04401

Also on File with NPPES

Secondary Location1
15 Aiken Ave
Franklin, NH 03235-1259
Phone (603) 934-4259

Medicare Participation & PECOS Enrollment Status

Alynna Mariz Perez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417636390, enumerated as an "individual" on July 17, 2023.

The provider is located at 895 UNION ST STE 12 BANGOR, ME 04401 and the phone number is (207) 973-7979.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.