Healthcare Provider Details

I. General information

NPI: 1225848666
Provider Name (Legal Business Name): ARLEET HERNANDEZ PEREZ RT(R)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2025
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14337 SW 172ND LN
MIAMI FL
33177-2739
US

IV. Provider business mailing address

14337 SW 172ND LN
MIAMI FL
33177-2739
US

V. Phone/Fax

Practice location:
  • Phone: 786-925-0726
  • Fax:
Mailing address:
  • Phone: 786-925-0726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471C3402X
TaxonomyRadiography Radiologic Technologist
License NumberCRT106573
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: