Healthcare Provider Details

I. General information

NPI: 1679430854
Provider Name (Legal Business Name): LUIS PEREZ GARCIA AA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

IV. Provider business mailing address

11353 NW 68TH ST
DORAL FL
33178-4537
US

V. Phone/Fax

Practice location:
  • Phone: 786-596-3621
  • Fax:
Mailing address:
  • Phone: 786-596-3621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: