Provider Demographics
NPI:1427528785
Name:PEREZ GARCIA, DAMARIS (ARNP)
Entity type:Individual
Prefix:
First Name:DAMARIS
Middle Name:
Last Name:PEREZ GARCIA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7150 W 20TH AVE STE 615
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5511
Mailing Address - Country:US
Mailing Address - Phone:305-820-6657
Mailing Address - Fax:305-820-6658
Practice Address - Street 1:7150 W 20TH AVE STE 615
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5511
Practice Address - Country:US
Practice Address - Phone:305-820-6657
Practice Address - Fax:305-820-6658
Is Sole Proprietor?:No
Enumeration Date:2018-11-29
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9240590363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily