Provider Demographics
NPI:1609502673
Name:PEREZ, VERONICA JULIA
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:JULIA
Last Name: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 1:12883 SW 150TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6386
Mailing Address - Country:US
Mailing Address - Phone:305-803-7299
Mailing Address - Fax:
Practice Address - Street 1:12883 SW 150TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6386
Practice Address - Country:US
Practice Address - Phone:305-803-7299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician