Provider Demographics
NPI:1235687971
Name:PRIETO PEREZ RHEUMATOLOGY INC
Entity Type:Organization
Organization Name:PRIETO PEREZ RHEUMATOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MASSIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIETO PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-269-9495
Mailing Address - Street 1:4191 EL PRADO BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6311
Mailing Address - Country:US
Mailing Address - Phone:786-269-9495
Mailing Address - Fax:305-269-7377
Practice Address - Street 1:6741 SW 24TH ST
Practice Address - Street 2:SUITE 50-51
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1762
Practice Address - Country:US
Practice Address - Phone:786-269-9495
Practice Address - Fax:305-269-7377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME127014207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty