Healthcare Provider Details

I. General information

NPI: 1760394506
Provider Name (Legal Business Name): ENEIDA LILU PEREZ NAVARRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11280 NW 84TH ST
DORAL FL
33178-1798
US

IV. Provider business mailing address

11280 NW 84TH ST
DORAL FL
33178-1798
US

V. Phone/Fax

Practice location:
  • Phone: 786-757-2741
  • Fax:
Mailing address:
  • Phone: 786-757-2741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: