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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 16, 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 in Bangor, Maine and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417636390
Entity TypeIndividualFemale
Primary Taxonomy390200000X
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
Phone(207) 973-7979
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.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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 ListedFamily MedicineTaxonomy 207Q00000X · License 38128 (NH)
895 UNION ST STE 12, Bangor, ME 04401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alynna Mariz Samala Perez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATH MYERS LCSW
Social Worker (Clinical)
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
CHIA CHEN CHUANG DO
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
CALLAGHAN JOSEPH GILLIS MD
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
DANE WANNIARACHIGE MD
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
ADAM DAVID SMITH MD
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
HANNAH MARION VARNEY ALBERT DO
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
AVERY DEVIN HERZOG LMSW-CC
Social Worker (Clinical)
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
SUNMEET KAUR MD
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alynna Mariz Perez's NPI number?

The NPI number for Alynna Mariz Perez is 1417636390. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Alynna Mariz Perez located?

Alynna Mariz Perez practices at 895 Union St Ste 12, Bangor, ME 04401. The listed phone number is (207) 973-7979.

What is Alynna Mariz Perez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alynna Mariz Perez enrolled in Medicare?

Yes. Alynna Mariz Perez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alynna Mariz Perez was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.