Healthcare Provider Details

I. General information

NPI: 1821404930
Provider Name (Legal Business Name): PEREZ PEDIATRICS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2014
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 W 20TH AVE SUITE G-154
HIALEAH FL
33016-1897
US

IV. Provider business mailing address

7100 W 20TH AVE SUITE G-154
HIALEAH FL
33016-1897
US

V. Phone/Fax

Practice location:
  • Phone: 305-558-6460
  • Fax: 305-362-5239
Mailing address:
  • Phone: 305-558-6460
  • Fax: 305-362-5239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HUGO NESTOR PEREZ
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 305-558-6460