Provider Demographics
NPI:1730368887
Name:PEREZ, ALFRED (RPH)
Entity type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6061 COLLINS AVE
Mailing Address - Street 2:APT# 14-E
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2210
Mailing Address - Country:US
Mailing Address - Phone:305-355-7203
Mailing Address - Fax:305-355-7196
Practice Address - Street 1:1695 NW 9TH AVE
Practice Address - Street 2:SUITE # 1311
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1409
Practice Address - Country:US
Practice Address - Phone:305-355-7203
Practice Address - Fax:305-355-7196
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 275221835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric