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NPI Code Detail

MEDICARE: MR. NELSON M. PEREZ MS

MEDICARE:  MR. NELSON M. PEREZ  MS
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
1101YM0800XMental Health CounselorMH10967FL

General Provider Information

NPI Number : 1346400322
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NELSON M. PEREZ MS
Provider Business Mailing Address
First Line : 8501 NW 138TH ST APT 2202
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33016-6586
Country : US
Telephone Number : 786-343-5987
Fax Number :
Provider Business Practice Location Address
First Line : 3510 BISCAYNE BLVD
Second Line :
City : MIAMI
State : FL
Zip : 33137-3840
Country : US
Telephone Number : 305-576-1234
Fax Number : 305-571-2020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2008
Last Update Date : 02/13/2024

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Directions to “ MR. NELSON M. PEREZ MS” Practice Location

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