Healthcare Provider Details

I. General information

NPI: 1922475680
Provider Name (Legal Business Name): ALIRIA P PEREZ TT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2015
Last Update Date: 08/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 SE 23RD CT
HOMESTEAD FL
33035-1242
US

IV. Provider business mailing address

1975 SE 23RD CT
HOMESTEAD FL
33035-1242
US

V. Phone/Fax

Practice location:
  • Phone: 305-767-6342
  • Fax: 305-248-1009
Mailing address:
  • Phone: 305-767-6342
  • Fax: 305-248-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberTT14283
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: