MEDICARE: JOSE ANTONIO 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	RBT-20-127303	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	:	1265012843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE ANTONIO PEREZ

Provider Business Mailing Address
First Line	:	850 W 74TH ST APT 107
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-4725
Country	:	US
Telephone Number	:	305-609-1338
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 W 74TH ST APT 107
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-4725
Country	:	US
Telephone Number	:	305-609-1338
Fax Number	:

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

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	04/08/2021

Similar Medicare Providers

1598621161 — ROGER RUANO
Practice Location Address:

850 W 74TH ST APT 101
HIALEAH, FL
33014-4725

Practice Phone: 866-330-9025
Practice Fax:

1932632122 — ANISLEIDYS MESA VALDES
Practice Location Address:

850 W 74TH ST APT 104
HIALEAH, FL
33014-4725

Practice Phone: 786-468-3741
Practice Fax: 305-901-1797

1881786952 — RENACER ACLF. CORPORATION
Practice Location Address:

115 W 5TH ST
HIALEAH, FL
33010-4725

Practice Phone: 305-884-0611
Practice Fax: 305-884-0611

1013614973 — YAILYN PEREZ TRIANA
Practice Location Address:

2770 W 60TH ST
HIALEAH, FL
33016-4725

Practice Phone: 786-609-8546
Practice Fax:

1295691434 — MARIA BERMUDEZ PUIG
Practice Location Address:

7202 W 4TH AVE APT 203
HIALEAH, FL
33014-5277

Practice Phone: 786-918-4306
Practice Fax:

1710843651 — JANAY YEMIMA CRUZ FERNANDEZ
Practice Location Address:

1140 W 74TH ST APT 107
HIALEAH, FL
33014-4689

Practice Phone: 561-663-1771
Practice Fax:

Directions to “ JOSE ANTONIO PEREZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.