Provider Demographics
NPI:1265772180
Name:PEREZ-FREIRIA, LORELEI (PA)
Entity type:Individual
Prefix:MRS
First Name:LORELEI
Middle Name:
Last Name:PEREZ-FREIRIA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 MERION POINT ROAD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33015-2302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1550 W 84TH ST STE 31
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-3355
Practice Address - Country:US
Practice Address - Phone:305-901-1191
Practice Address - Fax:786-615-5635
Is Sole Proprietor?:No
Enumeration Date:2013-03-01
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9100744363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant