Individual
JUAN CARLOS PEREZ FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3495 SW 107TH CT, MIAMI, FL 33165-3643
(786) 238-6031
Mailing address
3495 SW 107TH CT, MIAMI, FL 33165-3643
(786) 238-6031
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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