Provider Demographics
NPI:1104182799
Name:PEREZ GARAY, ESTELA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTELA
Middle Name:MARIA
Last Name:PEREZ GARAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ESTELA
Other - Middle Name:MARIA
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:167 W 23RD ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-2211
Mailing Address - Country:US
Mailing Address - Phone:305-823-3312
Mailing Address - Fax:786-360-2327
Practice Address - Street 1:5855 SW 137TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-1105
Practice Address - Country:US
Practice Address - Phone:305-823-3312
Practice Address - Fax:786-360-2327
Is Sole Proprietor?:No
Enumeration Date:2012-04-08
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME131857207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine