Provider Demographics
NPI:1437623766
Name:PEREZ CABRERA, ENIA (APRN)
Entity Type:Individual
Prefix:
First Name:ENIA
Middle Name:
Last Name:PEREZ CABRERA
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 1:8111 SW 157TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3027
Mailing Address - Country:US
Mailing Address - Phone:305-764-6292
Mailing Address - Fax:
Practice Address - Street 1:8111 SW 157TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3027
Practice Address - Country:US
Practice Address - Phone:305-764-6292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-21
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000704363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner