Provider Demographics
NPI:1518649037
Name:MEZERENE PELAEZ, ARACELIS (APRN)
Entity Type:Individual
Prefix:
First Name:ARACELIS
Middle Name:
Last Name:MEZERENE PELAEZ
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 1:295 E 2ND ST UNIT 104
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4966
Mailing Address - Country:US
Mailing Address - Phone:786-286-4894
Mailing Address - Fax:
Practice Address - Street 1:295 E 2ND ST UNIT 104
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4966
Practice Address - Country:US
Practice Address - Phone:786-286-4894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11027787363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily