Healthcare Provider Details

I. General information

NPI: 1144731241
Provider Name (Legal Business Name): MARIBEL NOVA PEREZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2017
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 W 68TH ST
HIALEAH FL
33014-4437
US

IV. Provider business mailing address

1700 W 68TH ST
HIALEAH FL
33014-4437
US

V. Phone/Fax

Practice location:
  • Phone: 305-826-3072
  • Fax: 855-540-2464
Mailing address:
  • Phone: 305-826-3072
  • Fax: 855-540-2464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9373594
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: