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NPI Code Detail

MEDICARE: ANGELICA PEREZ

MEDICARE:   ANGELICA  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
1106S00000XBehavior TechnicianRBT-23-313888FL

General Provider Information

NPI Number : 1386411940
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA PEREZ
Provider Business Mailing Address
First Line : 2143 NW 18TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33125-1346
Country : US
Telephone Number : 786-402-8802
Fax Number :
Provider Business Practice Location Address
First Line : 2143 NW 18TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33125-1346
Country : US
Telephone Number : 786-402-8802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2023
Last Update Date : 12/05/2023

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Directions to “ ANGELICA PEREZ ” Practice Location

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