Healthcare Provider Details

I. General information

NPI: 1982508354
Provider Name (Legal Business Name): MERCEDES PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 SW 66TH ST
MIAMI FL
33143-2433
US

IV. Provider business mailing address

8401 SW 66TH ST
MIAMI FL
33143-2433
US

V. Phone/Fax

Practice location:
  • Phone: 305-218-4474
  • Fax:
Mailing address:
  • Phone: 305-218-4474
  • Fax: 305-265-7260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number11048111
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: