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General NPI Number Information
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NPI Number | 1063751154
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Entity Type | Individual
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Provider Name | ANNIA ROSA PEREZ PINILLO
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Gender | Female
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Dates
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Enumeration Date | 02/08/2013
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 15485 EAGLE NEST LN STE 220
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2222
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Country | US
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Telephone | 786-477-5783
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Fax | 305-512-8805
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Provider Business Mailing Address
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Address Line | 3429 W 80TH ST APT 108
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City | HIALEAH
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State | FL
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Zip | 33018-7571
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Country | US
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Telephone | 786-486-9749
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA 13548
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License Number State | FL
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