Healthcare Provider Details

I. General information

NPI: 1134407471
Provider Name (Legal Business Name): ADRIEL PERALES CFNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5817 PATTON ST STE 101
CORPUS CHRISTI TX
78414-2428
US

IV. Provider business mailing address

5817 PATTON ST STE 101
CORPUS CHRISTI TX
78414-2428
US

V. Phone/Fax

Practice location:
  • Phone: 361-992-9383
  • Fax: 361-992-9543
Mailing address:
  • Phone: 361-992-9383
  • Fax: 361-992-9543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number707704
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP120689
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP120689
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: