Healthcare Provider Details

I. General information

NPI: 1831070937
Provider Name (Legal Business Name): ANA MARIA PEREZ CBHCM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1639 FORUM PL STE 7
WEST PALM BEACH FL
33401-2330
US

IV. Provider business mailing address

1111 HYPOLUXO RD
LANTANA FL
33462-4271
US

V. Phone/Fax

Practice location:
  • Phone: 561-898-9965
  • Fax:
Mailing address:
  • Phone: 772-262-0777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: