Provider Demographics
NPI:1144592429
Name:PEREZ, CIRSE (LMT)
Entity Type:Individual
Prefix:
First Name:CIRSE
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10871 SW 26TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2403
Mailing Address - Country:US
Mailing Address - Phone:786-234-4627
Mailing Address - Fax:305-227-3130
Practice Address - Street 1:10871 SW 26TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2403
Practice Address - Country:US
Practice Address - Phone:786-234-4627
Practice Address - Fax:305-227-3130
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist