Provider Demographics
NPI:1407657984
Name:PEREZ CABALLERO, DIANA (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:PEREZ CABALLERO
Suffix:
Gender:
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:240 SW 62ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-3229
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 COLLEGE PARK AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45469-0002
Practice Address - Country:US
Practice Address - Phone:937-229-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant