Provider Demographics
NPI:1922452176
Name:PEREA, ARMANDO GERMAN (NP-C)
Entity Type:Individual
Prefix:MR
First Name:ARMANDO
Middle Name:GERMAN
Last Name:PEREA
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2358 W 9TH LN
Mailing Address - Street 2:HIALEAH
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-2008
Mailing Address - Country:US
Mailing Address - Phone:786-302-0666
Mailing Address - Fax:
Practice Address - Street 1:2358 W 9TH LN
Practice Address - Street 2:HIALEAH
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-2008
Practice Address - Country:US
Practice Address - Phone:786-302-0666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9322021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily