Healthcare Provider Details

I. General information

NPI: 1780504324
Provider Name (Legal Business Name): SARAHI PEREZ MOREIRA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11411 SW 45TH MNR UNIT 104
MIRAMAR FL
33025-7909
US

IV. Provider business mailing address

11411 SW 45TH MNR UNIT 104
MIRAMAR FL
33025-7909
US

V. Phone/Fax

Practice location:
  • Phone: 786-865-9164
  • Fax:
Mailing address:
  • Phone: 786-865-9164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: