Provider Demographics
NPI:1013452010
Name:PEREZ-MORENO, DAYURIS
Entity type:Individual
Prefix:
First Name:DAYURIS
Middle Name:
Last Name:PEREZ-MORENO
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 1:448 BEACOM BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2948
Mailing Address - Country:US
Mailing Address - Phone:786-312-7723
Mailing Address - Fax:
Practice Address - Street 1:448 BEACOM BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2948
Practice Address - Country:US
Practice Address - Phone:786-312-7723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst