Individual
JUAN CARLOS PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5881 NW 151ST ST # 220, MIAMI LAKES, FL 33014-2497
(786) 631-3738
(305) 675-2861
Mailing address
6916 NW 72ND AVE, MIAMI, FL 33166-3036
(305) 889-0188
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN9292617
FL
225700000X
Massage Therapist
Primary
MA33029
FL
261Q00000X
Clinic/Center
HHC 8276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA33029
LMT
FL
05
—
MA33029
—
FL
Enumeration date
03/22/2010
Last updated
09/26/2024
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