MR. ROLANDO PEREZ IMG, LSA
NPI 1861593592
Physician Assistant - Surgical in Rockford, IL

Active since September 26, 2006
1491 STONY CREEK WAY, APT 2, ROCKFORD, IL 61108(832) 425-5634 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Rolando Perez Img, Lsa NPPES

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

MR. ROLANDO PEREZ IMG, LSA (NPI 1861593592) is an individual surgical provider in Rockford, Illinois, licensed in Texas (SA00087) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1861593592
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. ROLANDO PEREZCredential: IMG, LSA
Location Address1491 STONY CREEK WAY, APT 2Rockford, IL 61108-1210
Mailing AddressPo Box 7546Rockford, IL 61126-7546 · (832) 425-5634
Sole ProprietorYes
Enumeration DateSeptember 26, 2006
Last NPPES UpdateNovember 14, 2012
NPI 1861593592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TX · SA00087
Also ListedNeurological SurgeryTaxonomy 207T00000X · License SA00087 (TX)
1491 STONY CREEK WAY, Rockford, IL 61108

Other Providers at the Same Location NPPES

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

Physician Assistant (Surgical)
1491 STONY CREEK WAY, APT 2
ROCKFORD, IL 61108

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 Rolando Perez's NPI number?

The NPI number for Rolando Perez is 1861593592. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Rolando Perez located?

Rolando Perez practices at 1491 Stony Creek Way Apt 2, Rockford, IL 61108. The listed phone number is (832) 425-5634.

What is Rolando Perez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Rolando Perez was last updated on November 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.