MEDICARE: NILDA 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	1041C0700X	Clinical Social Worker	074247	NY

General Provider Information

NPI Number	:	1417614421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NILDA PEREZ

Provider Business Mailing Address
First Line	:	604 ROSA CT
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	604 ROSA CT
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4501
Country	:	US
Telephone Number	:	--
Fax Number	:

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

Provider Enumeration Date	:	11/24/2021
Last Update Date	:	01/15/2026

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Directions to “ NILDA PEREZ ” Practice Location

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