Provider Demographics
NPI:1639743701
Name:AGUILAR PEREZ, ZOILA M (PTA)
Entity Type:Individual
Prefix:
First Name:ZOILA
Middle Name:M
Last Name:AGUILAR PEREZ
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 SW 8TH ST STE 26
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2968
Mailing Address - Country:US
Mailing Address - Phone:786-615-3572
Mailing Address - Fax:786-294-0950
Practice Address - Street 1:9600 SW 8TH ST STE 26
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2968
Practice Address - Country:US
Practice Address - Phone:786-615-3572
Practice Address - Fax:786-294-0950
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA26147225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant