Healthcare Provider Details

I. General information

NPI: 1093539538
Provider Name (Legal Business Name): BERAKAH JIREH INSURANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2024
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15680 SW 88TH ST STE 201
MIAMI FL
33196-1160
US

IV. Provider business mailing address

17626 SW 10TH ST
PEMBROKE PINES FL
33029-4845
US

V. Phone/Fax

Practice location:
  • Phone: 305-338-9828
  • Fax: 786-691-4268
Mailing address:
  • Phone: 305-338-9828
  • Fax: 786-691-4268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. ERICK BENJAMIN PEREZ
Title or Position: OWNER
Credential: NP
Phone: 305-338-9828