Healthcare Provider Details

I. General information

NPI: 1285556266
Provider Name (Legal Business Name): ISABEL PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12219 SW 14TH LN APT 2207
MIAMI FL
33184-2840
US

IV. Provider business mailing address

12219 SW 14TH LN APT 2207
MIAMI FL
33184-2840
US

V. Phone/Fax

Practice location:
  • Phone: 305-364-5533
  • Fax: 786-332-2919
Mailing address:
  • Phone: 305-364-5533
  • Fax: 786-332-2919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: