MEDICARE: PATRICIA PEREZ GUERRA APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11035625	FL
2	163W00000X	Registered Nurse	9540840	FL
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP035547	PA
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN10038335	MA
5	363LF0000X	Family Nurse Practitioner	11035625	FL

General Provider Information

NPI Number	:	1104644954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA PEREZ GUERRA APRN

Provider Business Mailing Address
First Line	:	5030 BRUNSON DR
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2412
Country	:	US
Telephone Number	:	786-252-4449
Fax Number	:

Provider Business Practice Location Address
First Line	:	6971 N FEDERAL HWY STE 206
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-1648
Country	:	US
Telephone Number	:	561-408-1098
Fax Number	:

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

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	06/12/2026

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