| Mariela Perez Pa | |
|
698 N Homestead Blvd Ste 104 Homestead FL 33030-6208 | |
| (305) 245-3534 | |
| (305) 245-3563 |
| Full Name | Mariela Perez Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 698 N Homestead Blvd Ste 104, Homestead, Florida |
| Authorized Official Name and Position | Mariela Perez (PHYSICIAN) |
| Authorized Official Contact | 3052453534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariela Perez Pa Po Box 924344 Princeton FL 33092-4344 Ph: (305) 245-3534 | Mariela Perez Pa 698 N Homestead Blvd Ste 104 Homestead FL 33030-6208 Ph: (305) 245-3534 |
| NPI Number | 1174797724 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Medicare PECOS PAC ID | 1456422310 |
|---|---|
| Medicare Enrollment ID | O20080619000645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174797724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME92090 (Florida) | Primary |
| Provider Name | Mariela Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811082449 PECOS PAC ID: 3971558271 Enrollment ID: I20050321000128 |
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