Provider Demographics
NPI:1841907953
Name:PEREZ, ADRIANA CAROLINA
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:CAROLINA
Last Name:PEREZ
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 1:1818 SW 1ST AVE APT 1208
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-1187
Mailing Address - Country:US
Mailing Address - Phone:786-716-5836
Mailing Address - Fax:
Practice Address - Street 1:1818 SW 1ST AVE APT 1208
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-1187
Practice Address - Country:US
Practice Address - Phone:786-716-5836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21-341246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant