Healthcare Provider Details

I. General information

NPI: 1871782912
Provider Name (Legal Business Name): PATRICIA YVONNE PEREZ NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 CONCORD TERRACE
SUNRISE FL
33323
US

IV. Provider business mailing address

1015 N TEXAS BLVD STE 20B
WESLACO TX
78596-4553
US

V. Phone/Fax

Practice location:
  • Phone: 800-243-3839
  • Fax:
Mailing address:
  • Phone: 469-722-4944
  • Fax: 469-722-4944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number562688
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: