Provider Demographics
NPI:1164276341
Name:PEREZ DEL POZO, ARIADNYS OLIVIA (MD)
Entity Type:Individual
Prefix:
First Name:ARIADNYS
Middle Name:OLIVIA
Last Name:PEREZ DEL POZO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26102 SW 138TH COURT RD
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6747
Mailing Address - Country:US
Mailing Address - Phone:786-274-9996
Mailing Address - Fax:
Practice Address - Street 1:26102 SW 138TH COURT RD
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-6747
Practice Address - Country:US
Practice Address - Phone:786-274-9996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16921-I208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice