Healthcare Provider Details

I. General information

NPI: 1386890002
Provider Name (Legal Business Name): PAUL E PERITO MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 SAN LORENZO AVE SUITE 540
CORAL GABLES FL
33146
US

IV. Provider business mailing address

135 SAN LORENZO AVE SUITE 540
CORAL GABLES FL
33146
US

V. Phone/Fax

Practice location:
  • Phone: 305-444-2920
  • Fax: 305-446-9377
Mailing address:
  • Phone: 305-444-2920
  • Fax: 305-446-9377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME0060097
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL E PERITO
Title or Position: OWNER
Credential: MD
Phone: 305-444-2920