Alfonso Perez, Elvis

Alfonso Perez, Elvis is an sole proprietor health care provider with primary practice located at 12423 Sw 27Th St , Miami FL 33175-2106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alfonso Perez, Elvis can be contacted via phone (786) 212-0742.

Contact Information

Primary practice address
12423 Sw 27Th St Miami FL 33175-2106
Phone: (786) 212-0742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9375057 Florida

Profile Details

NPI number 1982112967
LBN Legal business name Alfonso Perez, Elvis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2018
Last updated Jan 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982112967 NPPES
Florida MEDICAID 9375057

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