Provider Demographics
NPI:1275749657
Name:PEREZ, LUIS FRANCISCO (RN)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:FRANCISCO
Last Name:PEREZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18455 MIRAMAR PKWY STE 108
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5871
Mailing Address - Country:US
Mailing Address - Phone:954-862-1432
Mailing Address - Fax:954-862-1437
Practice Address - Street 1:18455 MIRAMAR PKWY STE 108
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-5871
Practice Address - Country:US
Practice Address - Phone:954-862-1432
Practice Address - Fax:954-862-1437
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9179041374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY116GOtherBCBS