NPI Code Details Logo

NPI 1790908564

NPI 1790908564 : ALEXANDER G PEREZ M.D. : MIAMI, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1790908564
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALEXANDER G PEREZ M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/10/2007
-----------------------------------------------------
    Last Update Date     |    05/12/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8720 N KENDALL DR STE 211
-----------------------------------------------------
    City                 |    MIAMI
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33176-2299
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    305-788-0999
-----------------------------------------------------
    Fax                  |    305-412-6686
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    14031 SW 20TH ST 
-----------------------------------------------------
    City                 |    MIAMI
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33175-7036
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    305-788-0999
-----------------------------------------------------
    Fax                  |    305-412-6686
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084N0400X
-----------------------------------------------------
    Taxonomy Name        |    Neurology Physician
-----------------------------------------------------
    License Number       |    ME 97580
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    0101271011
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    2020-04385
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2084P0804X
-----------------------------------------------------
    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
-----------------------------------------------------
    License Number       |    ME 97580
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    MD 97580
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.