Provider Demographics
NPI:1336849785
Name:PEREZ REYES, ARIANNA (APRN)
Entity Type:Individual
Prefix:
First Name:ARIANNA
Middle Name:
Last Name:PEREZ REYES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3217 SE 7TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-7219
Mailing Address - Country:US
Mailing Address - Phone:786-992-4476
Mailing Address - Fax:
Practice Address - Street 1:600 N CONGRESS AVE STE 550
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-3461
Practice Address - Country:US
Practice Address - Phone:786-992-4476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11019022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily