Healthcare Provider Details

I. General information

NPI: 1952872509
Provider Name (Legal Business Name): HECTOR SILVA PEREZ APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2018
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12001 SW 185TH TER
MIAMI FL
33177-3224
US

IV. Provider business mailing address

12001 SW 185TH TER
MIAMI FL
33177-3224
US

V. Phone/Fax

Practice location:
  • Phone: 786-591-7466
  • Fax: 833-468-4948
Mailing address:
  • Phone: 786-591-7466
  • Fax: 833-468-4948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11000420
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: