Provider Demographics
NPI:1437577012
Name:PEREZ PASCUAL, HENDRY JULIAN (MD)
Entity type:Individual
Prefix:DR
First Name:HENDRY
Middle Name:JULIAN
Last Name:PEREZ PASCUAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18300 NW 62ND AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33015-8207
Mailing Address - Country:US
Mailing Address - Phone:786-677-9922
Mailing Address - Fax:844-895-3066
Practice Address - Street 1:18300 NW 62ND AVE STE 210
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33015-8207
Practice Address - Country:US
Practice Address - Phone:786-677-9922
Practice Address - Fax:844-895-3066
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-01
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME143678207Q00000X
CAA144619207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA898036Medicaid