Healthcare Provider Details

I. General information

NPI: 1720690068
Provider Name (Legal Business Name): AYLEN PASCUAL PEREZ FNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AYLEN PASCUAL PEREZ PMHNP

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SW 97TH AVE
MIAMI FL
33173-1494
US

IV. Provider business mailing address

7000 SW 97TH AVE STE 214
MIAMI FL
33173-1492
US

V. Phone/Fax

Practice location:
  • Phone: 786-780-1800
  • Fax: 780-780-2500
Mailing address:
  • Phone: 786-780-1800
  • Fax: 786-780-2500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11008642
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11008642
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: