Healthcare Provider Details

I. General information

NPI: 1346741618
Provider Name (Legal Business Name): YAMIRKA SANCHEZ PEREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 NW 42ND AVE STE 101
MIAMI FL
33126-4174
US

IV. Provider business mailing address

860 NW 42ND AVE FL 5
MIAMI FL
33126-4172
US

V. Phone/Fax

Practice location:
  • Phone: 305-204-0333
  • Fax: 305-359-7546
Mailing address:
  • Phone: 305-204-0333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number14653
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number14653-I
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN1137
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: