Healthcare Provider Details

I. General information

NPI: 1215862693
Provider Name (Legal Business Name): LEXIE NICOLE PEREZ DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 ALMERIA AVE STE 105
CORAL GABLES FL
33134-5801
US

IV. Provider business mailing address

357 ALMERIA AVE STE 105
CORAL GABLES FL
33134-5801
US

V. Phone/Fax

Practice location:
  • Phone: 305-569-9001
  • Fax:
Mailing address:
  • Phone: 305-569-9001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN31882
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: