Provider Demographics
NPI:1184931586
Name:PEREA, HILDA MARIA
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:MARIA
Last Name:PEREA
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 1:13550 SW 88TH ST
Mailing Address - Street 2:STE 112
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1514
Mailing Address - Country:US
Mailing Address - Phone:305-383-6565
Mailing Address - Fax:
Practice Address - Street 1:13550 SW 88TH ST
Practice Address - Street 2:STE 112
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1514
Practice Address - Country:US
Practice Address - Phone:305-383-6565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1954682163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse