Provider Demographics
NPI:1275220220
Name:PEREZ AGUERREBERE, ANAY
Entity Type:Individual
Prefix:
First Name:ANAY
Middle Name:
Last Name:PEREZ AGUERREBERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18710 NW 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-3022
Mailing Address - Country:US
Mailing Address - Phone:786-991-8465
Mailing Address - Fax:
Practice Address - Street 1:18710 NW 32ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-3022
Practice Address - Country:US
Practice Address - Phone:786-991-8465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker