Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 15682 | PR |
NPI | 1003928425 |
---|---|
Provider Name | Guibel Perera |
First Address | Miami, FL 33126-0018 |
Second Address | Miami, FL 33165-3619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 01/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09748 | BCBS (01) | FL |
277806800 | (05) | FL |