Healthcare Provider Details

I. General information

NPI: 1831422013
Provider Name (Legal Business Name): IRINA VALDES PEREZ FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2009
Last Update Date: 11/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7959 NW 2ND ST
MIAMI FL
33126-8000
US

IV. Provider business mailing address

7959 NW 2ND ST
MIAMI FL
33126-8000
US

V. Phone/Fax

Practice location:
  • Phone: 305-267-6060
  • Fax:
Mailing address:
  • Phone: 305-267-6060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number9417850
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: