MEDICARE: MARIA LUISA PEREZ

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	106S00000X	Behavior Technician	RBT-25-404782	FL
2	106S00000X	Behavior Technician	RBT-25-404782	KY

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	:	1740091636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA LUISA PEREZ

Provider Business Mailing Address
First Line	:	9619 FONTAINEBLEAU BLVD APT 506
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-6871
Country	:	US
Telephone Number	:	178-629-0265
Fax Number	:

Provider Business Practice Location Address
First Line	:	9619 FONTAINEBLEAU BLVD APT 506
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-6871
Country	:	US
Telephone Number	:	786-290-2657
Fax Number	:

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

Provider Enumeration Date	:	01/18/2025
Last Update Date	:	08/26/2025

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Directions to “ MARIA LUISA PEREZ ” Practice Location

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