Provider Demographics
NPI:1700770278
Name:PEREZ, ANDRES ARTURO
Entity type:Individual
Prefix:
First Name:ANDRES
Middle Name:ARTURO
Last Name:PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10825 N KENDALL DR APT 239
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1383
Mailing Address - Country:US
Mailing Address - Phone:786-307-3328
Mailing Address - Fax:
Practice Address - Street 1:10825 N KENDALL DR APT 239
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1383
Practice Address - Country:US
Practice Address - Phone:786-307-3328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9511892163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine