Healthcare Provider Details

I. General information

NPI: 1831768209
Provider Name (Legal Business Name): ALDO JORGE PEREZ GONZALEZ APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 ALHAMBRA CIR STE 140
CORAL GABLES FL
33134-4529
US

IV. Provider business mailing address

14233 SW 145TH PL
MIAMI FL
33186-6787
US

V. Phone/Fax

Practice location:
  • Phone: 305-917-9270
  • Fax: 305-917-9280
Mailing address:
  • Phone: 786-546-4917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11047896
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: