Individual
SURY SADAY PEREZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCMS
Contact information
Practice address
18300 NW 62ND AVE STE 200, HIALEAH, FL 33015-8207
(786) 953-6729
(786) 353-2349
Mailing address
1081 NW 195TH ST, MIAMI, FL 33169-3039
(786) 326-1619
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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