Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 21206 | FL |
NPI | 1013070960 |
---|---|
Provider Name | Dr. Yvette Pereyra Ans |
First Address | Hollywood, FL 33021-3656 |
Second Address | Hollywood, FL 33021-3416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 08/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1698902 | COVENTRY (01) | FL |
4068529 | AETNA (01) | FL |
D60311 | (02) | FL |