Healthcare Provider Details

I. General information

NPI: 1629989173
Provider Name (Legal Business Name): ANNABELLE VALERIO-PEREZ VARGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNABELLE VALERIO MEJIA

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 BARTLETT ST
BROOKLYN NY
11206-4463
US

IV. Provider business mailing address

2463 TIEBOUT AVE APT 51
BRONX NY
10458-5480
US

V. Phone/Fax

Practice location:
  • Phone: 718-828-2666
  • Fax:
Mailing address:
  • Phone: 347-951-4506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberN10500
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: