Healthcare Provider Details

I. General information

NPI: 1316874613
Provider Name (Legal Business Name): GRETER NUNEZ PEREZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13764 SW 53RD TER
MIAMI FL
33175-6017
US

IV. Provider business mailing address

13764 SW 53RD TER
MIAMI FL
33175-6017
US

V. Phone/Fax

Practice location:
  • Phone: 786-999-2134
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11046725
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: