Provider Demographics
NPI:1922892785
Name:PEREZ ARNAIZ, PAVEL (CBHCMS)
Entity type:Individual
Prefix:
First Name:PAVEL
Middle Name:
Last Name:PEREZ ARNAIZ
Suffix:
Gender:M
Credentials:CBHCMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13802 SW 27TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6577
Mailing Address - Country:US
Mailing Address - Phone:786-344-1905
Mailing Address - Fax:
Practice Address - Street 1:13055 SW 42ND ST STE 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3470
Practice Address - Country:US
Practice Address - Phone:305-480-7839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator