Provider Demographics
NPI:1982486601
Name:PEREZ MIRANDA, CIRA NILDA (APRN)
Entity Type:Individual
Prefix:
First Name:CIRA
Middle Name:NILDA
Last Name:PEREZ MIRANDA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 4189
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-4189
Mailing Address - Country:US
Mailing Address - Phone:543-363-9582
Mailing Address - Fax:954-363-9663
Practice Address - Street 1:15700 NW 67TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2112
Practice Address - Country:US
Practice Address - Phone:786-434-5987
Practice Address - Fax:954-434-5988
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029225363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily