Provider Demographics
NPI:1295128262
Name:PEREZ, ALEJANDRO (NP)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8870SW92ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2008
Mailing Address - Country:US
Mailing Address - Phone:786-247-2717
Mailing Address - Fax:786-221-3853
Practice Address - Street 1:8870SW92ND CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2008
Practice Address - Country:US
Practice Address - Phone:786-247-2717
Practice Address - Fax:786-221-3853
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-13
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9201869363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily