Provider Demographics
NPI:1043194111
Name:PEREZ GARCIA, DILAYNE
Entity type:Individual
Prefix:MRS
First Name:DILAYNE
Middle Name:
Last Name:PEREZ GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3517 MILL BROOK WAY CIR
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3056
Mailing Address - Country:US
Mailing Address - Phone:561-891-5710
Mailing Address - Fax:561-891-5710
Practice Address - Street 1:3517 MILL BROOK WAY CIR
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3056
Practice Address - Country:US
Practice Address - Phone:561-891-5710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-02
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP234-974-38-600-0106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician