Provider Demographics
NPI:1548932486
Name:PEREZ, SULIA (APRN)
Entity type:Individual
Prefix:
First Name:SULIA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 NW 25TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-4448
Mailing Address - Country:US
Mailing Address - Phone:786-519-9640
Mailing Address - Fax:
Practice Address - Street 1:514 NW 25TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4448
Practice Address - Country:US
Practice Address - Phone:786-519-9640
Practice Address - Fax:305-470-5846
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11036017363LF0000X
FLRN9504299163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily