MEDICARE: MAYELIN AGUILAR PEREZ M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH24229	FL
2	103K00000X	Behavior Analyst	MH24229	FL
3	252Y00000X	Early Intervention Provider Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669713004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYELIN AGUILAR PEREZ M.D

Provider Business Mailing Address
First Line	:	11044 DAWNVIEW LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-7421
Country	:	US
Telephone Number	:	407-305-1778
Fax Number	:

Provider Business Practice Location Address
First Line	:	11044 DAWNVIEW LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-7421
Country	:	US
Telephone Number	:	407-486-0168
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2013
Last Update Date	:	06/03/2026

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