MEDICARE: LISAIDA PEREZ HERNANDEZ

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

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	:	1669979217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISAIDA PEREZ HERNANDEZ

Provider Business Mailing Address
First Line	:	6237 W FLAGLER ST APT 32
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-3030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6237 W FLAGLER ST APT 32
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-3030
Country	:	US
Telephone Number	:	786-719-9347
Fax Number	:

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

Provider Enumeration Date	:	04/10/2018
Last Update Date	:	04/10/2018

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1225867740 — BELINDA BEATRIZ RODRIGUEZ DMD
Practice Location Address:

13762 SW 8TH ST
MIAMI, FL
33184-3030

Practice Phone: 786-460-1127
Practice Fax: 305-697-9785

1427883586 — COMPLETE DENTAL SOLUTIONS OF FLORIDA LLC
Practice Location Address:

13768 SW 8TH ST
MIAMI, FL
33184-3030

Practice Phone: 786-460-1127
Practice Fax: 305-697-9785

1649268228 — MR. ALLEN M CHEIFETZ LMHC
Practice Location Address:

616 W 47TH ST
MIAMI BEACH, FL
33140-3030

Practice Phone: 305-673-2498
Practice Fax: 305-673-9969

1528024056 — DR. RICHARD BURT AGUILAR M.D.
Practice Location Address:

13768 SW 8TH ST
MIAMI, FL
33184-3030

Practice Phone: 855-226-6633
Practice Fax:

1114037843 — MR. NELSON RANGEL MSPT, CMT
Practice Location Address:

12301 SW 39TH TER
MIAMI, FL
33175-3030

Practice Phone: 305-508-8114
Practice Fax: 305-226-5648

Directions to “ LISAIDA PEREZ HERNANDEZ ” 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.