Provider Demographics
NPI:1124817200
Name:PEREZ CORREA, CLAUDIA VIRGINIA (APRN)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:VIRGINIA
Last Name:PEREZ CORREA
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4440 NW 107TH AVE APT 208
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1883
Mailing Address - Country:US
Mailing Address - Phone:305-322-1706
Mailing Address - Fax:
Practice Address - Street 1:4440 NW 107TH AVE APT 208
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-1883
Practice Address - Country:US
Practice Address - Phone:305-322-1706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11039166363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily