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Individual

MR. ANGEL LUIS PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
9999 NW 27TH TER, DORAL, FL 33172-1314
(305) 610-3751
(305) 436-5090
Mailing address
9999 NW 27TH TER, DORAL, FL 33172-1314
(305) 610-3751
(305) 436-5090

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9206609
FL
163WH0200X
Home Health Registered Nurse
Primary
RN9206609
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN9206609
FL

Other

Enumeration date
01/02/2010
Last updated
01/02/2010
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