MEDICARE: VICTOR ISAAC PEREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst	0-26-16824	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003529694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR ISAAC PEREZ

Provider Business Mailing Address
First Line	:	19022 NE 29TH AVE
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-2823
Country	:	US
Telephone Number	:	305-931-1617
Fax Number	:	786-431-2576

Provider Business Practice Location Address
First Line	:	19022 NE 29TH AVE
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-2823
Country	:	US
Telephone Number	:	305-931-1617
Fax Number	:	786-431-2576

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2022
Last Update Date	:	02/11/2026

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Directions to “ VICTOR ISAAC PEREZ ” Practice Location

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