Healthcare Provider Details

I. General information

NPI: 1033547856
Provider Name (Legal Business Name): FRANCISCO ANTONIO PEREZ LORETO MD (HOUSE PHYSICIAN)
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2013
Last Update Date: 08/28/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JACKSON SOUTH MEDICAL CENTER 9333 SW 152ND ST
MIAMI FL
33157
US

IV. Provider business mailing address

11781 SW 92 LANE
MIAMI FL
33186
US

V. Phone/Fax

Practice location:
  • Phone: 305-251-2500
  • Fax:
Mailing address:
  • Phone: 305-815-5319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberHSW5512
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: