Healthcare Provider Details

I. General information

NPI: 1902715980
Provider Name (Legal Business Name): LEYANI PEREZ NP,CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 NW 82ND AVE STE 400
DORAL FL
33166-7602
US

IV. Provider business mailing address

3625 NW 82ND AVE STE 400
DORAL FL
33166-7602
US

V. Phone/Fax

Practice location:
  • Phone: 786-273-0881
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LEYANI PEREZ GONZALEZ
Title or Position: OWNER
Credential: NURSE PRACTITIONIER
Phone: 786-273-0881