Provider Demographics
NPI:1831792308
Name:PEREZ, YOANDRA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:YOANDRA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:YOANDRA
Other - Middle Name:
Other - Last Name:PEREZ MONTENEGRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3017 N OAKLAND FOREST DR APT 306
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-7668
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2766 E .COLONIAL DRIVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5025
Practice Address - Country:US
Practice Address - Phone:407-426-9693
Practice Address - Fax:407-426-9694
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024252363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily