Healthcare Provider Details

I. General information

NPI: 1760970370
Provider Name (Legal Business Name): ANABEL PEREZ ROSA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANABEL PEREZ APRN

II. Dates (important events)

Enumeration Date: 04/30/2018
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9915 NW 41ST ST STE 230
DORAL FL
33178-2445
US

IV. Provider business mailing address

PO BOX 198054
ATLANTA GA
30384-8054
US

V. Phone/Fax

Practice location:
  • Phone: 786-595-9930
  • Fax: 786-576-0455
Mailing address:
  • Phone: 786-662-7980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9231696
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: