Healthcare Provider Details

I. General information

NPI: 1669346698
Provider Name (Legal Business Name): REBECCA LOREN PEREZ MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/24/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2455 LINDELL BLVD APT 3102
DELRAY BEACH FL
33444-1127
US

IV. Provider business mailing address

2455 LINDELL BLVD APT 3102
DELRAY BEACH FL
33444-1127
US

V. Phone/Fax

Practice location:
  • Phone: 954-547-9514
  • Fax:
Mailing address:
  • Phone: 954-547-9514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number17432
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number17432
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: