Provider Demographics
NPI:1932754900
Name:PEREZ-BEATO, SILVANA M
Entity Type:Individual
Prefix:
First Name:SILVANA
Middle Name:M
Last Name:PEREZ-BEATO
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 1:8300 W FLAGLER ST STE 254C8300
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-6000
Mailing Address - Country:US
Mailing Address - Phone:786-572-9606
Mailing Address - Fax:305-392-0775
Practice Address - Street 1:9380 SW 72ND ST STE B240
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5483
Practice Address - Country:US
Practice Address - Phone:305-639-8095
Practice Address - Fax:305-392-0775
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-07
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant