Provider Demographics
NPI:1013552397
Name:PEREZ, VERONICA (APRN)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11554 SW 109TH RD UNIT 34W
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-8428
Mailing Address - Country:US
Mailing Address - Phone:786-714-0295
Mailing Address - Fax:
Practice Address - Street 1:9950 SW 107TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2767
Practice Address - Country:US
Practice Address - Phone:305-274-8779
Practice Address - Fax:305-274-0646
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-11
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11004102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily