Provider Demographics
NPI:1497420335
Name:LEDESMA PEREZ, SONIA LESLIE
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:LESLIE
Last Name:LEDESMA PEREZ
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 1:531 SW 6TH CT APT 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-2793
Mailing Address - Country:US
Mailing Address - Phone:786-499-9799
Mailing Address - Fax:786-923-8439
Practice Address - Street 1:531 SW 6TH CT APT 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2793
Practice Address - Country:US
Practice Address - Phone:786-499-9799
Practice Address - Fax:786-923-8439
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide