MEDICARE: MARCO 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	106S00000X	Behavior Technician	P626541993300	FL

General Provider Information

NPI Number	:	1124827985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCO PEREZ

Provider Business Mailing Address
First Line	:	2325 SW 93RD CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-8124
Country	:	US
Telephone Number	:	786-353-5201
Fax Number	:

Provider Business Practice Location Address
First Line	:	7171 SW 24TH ST STE 315
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1692
Country	:	US
Telephone Number	:	786-870-5752
Fax Number	:

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

Provider Enumeration Date	:	03/12/2025
Last Update Date	:	03/17/2026

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Directions to “ MARCO PEREZ ” Practice Location

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