Healthcare Provider Details

I. General information

NPI: 1679050884
Provider Name (Legal Business Name): FELIX PEREZ ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2018
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SW 27TH AVE
MIAMI FL
33135-1428
US

IV. Provider business mailing address

5077 NW 7TH ST APT 1506
MIAMI FL
33126-3466
US

V. Phone/Fax

Practice location:
  • Phone: 305-642-5366
  • Fax: 305-644-6407
Mailing address:
  • Phone: 305-588-2906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9259172
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: