MEDICARE: FIORELLA MYRELLA PEREZ M.D.

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	207R00000X	Internal Medicine Physician	ME176758	FL
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	ME176758	FL

General Provider Information

NPI Number	:	1184007270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FIORELLA MYRELLA PEREZ M.D.

Provider Business Mailing Address
First Line	:	1150 NW 14TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2137
Country	:	US
Telephone Number	:	305-243-4900
Fax Number	:	305-243-7440

Provider Business Practice Location Address
First Line	:	1150 NW 14TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2137
Country	:	US
Telephone Number	:	305-243-4900
Fax Number	:	305-243-7440

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

Provider Enumeration Date	:	07/07/2015
Last Update Date	:	06/15/2026

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