Provider Demographics
NPI:1619283934
Name:PEREZ, NAYDA (MS)
Entity Type:Individual
Prefix:
First Name:NAYDA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16660 S POST RD
Mailing Address - Street 2:APT 301
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3570
Mailing Address - Country:US
Mailing Address - Phone:407-590-8231
Mailing Address - Fax:
Practice Address - Street 1:16660 S POST RD
Practice Address - Street 2:APT 301
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3570
Practice Address - Country:US
Practice Address - Phone:407-590-8231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health