Provider Demographics
NPI:1457591554
Name:PEREZ, JULIETTE (DPM)
Entity type:Individual
Prefix:DR
First Name:JULIETTE
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13651 SW 26TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6378
Mailing Address - Country:US
Mailing Address - Phone:305-225-4277
Mailing Address - Fax:305-225-4278
Practice Address - Street 1:13651 SW 26TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6378
Practice Address - Country:US
Practice Address - Phone:305-225-4277
Practice Address - Fax:305-225-4278
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3381213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist