Provider Demographics
NPI:1063055788
Name:PEREZ GUERRERO, NORAYCIS
Entity type:Individual
Prefix:
First Name:NORAYCIS
Middle Name:
Last Name:PEREZ GUERRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10106 SW 143RD CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6985
Mailing Address - Country:US
Mailing Address - Phone:786-262-6058
Mailing Address - Fax:
Practice Address - Street 1:10106 SW 143RD CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6985
Practice Address - Country:US
Practice Address - Phone:786-262-6058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator