Provider Demographics
NPI:1396626941
Name:PEREZ NOBREGA, MARIANNYS
Entity type:Individual
Prefix:
First Name:MARIANNYS
Middle Name:
Last Name:PEREZ NOBREGA
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 1:21362 SW 112TH AVE APT 305
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2933
Mailing Address - Country:US
Mailing Address - Phone:786-470-9364
Mailing Address - Fax:
Practice Address - Street 1:21362 SW 112TH AVE APT 305
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-2933
Practice Address - Country:US
Practice Address - Phone:786-470-9364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide