# MIAMI MEDICAL DOCTOR P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801705363
- **Authorized official:** ROSANNA PEREZ MD (PRESIDENT)
- **Authorized official phone:** (786) 925-3170

## Contact information

- **Practice address:** 1380 NE MIAMI GDN DR STE 100, MIAMI, FL 33179-4708
- **Practice address phone:** (786) 925-3170
- **Mailing address:** 14792 SW 143RD TER, MIAMI, FL 33196-4667
- **Mailing address phone:** (786) 925-3170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2026
- **Last updated:** 09/02/2026
