Provider Demographics
NPI:1316146277
Name:PEREZ, NERIZA POBLETE (RN)
Entity type:Individual
Prefix:MRS
First Name:NERIZA
Middle Name:POBLETE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:NERIZA
Other - Middle Name:POBLETE
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:186 PARK RD N
Mailing Address - Street 2:186 PARK ROAD NORTH
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4740
Mailing Address - Country:US
Mailing Address - Phone:561-795-7786
Mailing Address - Fax:
Practice Address - Street 1:7305 MILITRY TRAIL
Practice Address - Street 2:DEPARTMENT OF VETERANS AFFAIR
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-422-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2219912163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse