Individual
DR. AMANDA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10201 HAMMOCKS BLVD STE 122, MIAMI, FL 33196-3783
(786) 701-8702
(305) 397-2669
Mailing address
10201 HAMMOCKS BLVD STE 157, MIAMI, FL 33196-3787
(786) 808-8288
(305) 397-2669
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15998
PR
208D00000X
General Practice Physician
Primary
ME135256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003-516-200
—
FL
01
—
BQ646T
MEDICARE PTAN
FL
Enumeration date
05/22/2007
Last updated
01/13/2026
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