MEDICARE: GABRIELA PEREZ, D.O., P.A.

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	2084N0400X	Neurology Physician

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	:	1376254672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GABRIELA PEREZ, D.O., P.A.

Provider Business Mailing Address
First Line	:	1805 PONCE DE LEON BLVD STE 125
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-4473
Country	:	US
Telephone Number	:	786-554-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2695 S LE JEUNE RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33134-5839
Country	:	US
Telephone Number	:	305-403-7197
Fax Number	:	305-489-8087

Authorized Official
Title or Position	:	OWNER/ PHYSICIAN
Name	:	DR. GABRIELA PEREZ
Credential	:	DO
Telephone Number	:	786-554-3700

Provider Enumeration Date	:	12/07/2022
Last Update Date	:	07/08/2025

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