Provider Demographics
NPI:1225598592
Name:PEREIRA, HEIDY CECILIA (APRN)
Entity Type:Individual
Prefix:
First Name:HEIDY
Middle Name:CECILIA
Last Name:PEREIRA
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 1:7750 NW 171ST ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-3840
Mailing Address - Country:US
Mailing Address - Phone:786-760-2860
Mailing Address - Fax:305-698-5325
Practice Address - Street 1:7750 NW 171ST ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-3840
Practice Address - Country:US
Practice Address - Phone:786-760-2860
Practice Address - Fax:305-698-5325
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11001888363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner