Vandely Perez
General Practice Physician
5378 W 16th Ave
Hialeah
, Florida 33012-2165
Vandely Perez
General Practice Physician
5378 W 16th Ave
Hialeah
, Florida 33012-2165
(305) 820-2885
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Vandely Perez
- 5378 W 16th Ave
- Hialeah, FL
- Zip : 33012-2165
- Fax : (305) 820-2885
- Phone : (305) 820-4101
Second Address
- Vandely Perez
- 5378 W 16th Ave
- Hialeah, FL
- Zip : 33012-2165
- Fax : (305) 820-2885
- Phone : (305) 820-4101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | ME85113 | FL |
National Provider Identifier
| NPI | 1003848268 |
|---|---|
| Provider Name | Vandely Perez |
| First Address | Hialeah, FL 33012-2165 |
| Second Address | Hialeah, FL 33012-2165 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2006 |
| Last Update Date | 03/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I21958 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.