=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427375518
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALEXEIV PEREZ M.D
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/28/2010
-----------------------------------------------------
Last Update Date | 12/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8932 SW 97TH AVE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33176-1936
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-270-3400
-----------------------------------------------------
Fax | 305-270-3486
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8932 SW 97TH AVE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33176-1936
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-270-3400
-----------------------------------------------------
Fax | 786-206-0830
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | ME114106
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------