Doctor Name: | MAIDA PEREIRA |
NPI Number: | 1952553893 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 17358 |
Business Practice Address: | 4726 W Flagler St Coral Gables, FL - 331341452 |
Business Phone Number: | 3054469155 |
Business Fax Number: | 3054461855 |
Mailing Address: | 4726 W Flagler St, CORAL GABLES |
State: | FL |
Postal Code: | 331341452 |
Phone Number: | 3054469155 |
Fax Number: | 3054461855 |
NPI Enumeration Date: | 10/22/2008 |
NPI Last Update Date: | 07/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17358 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |