Provider Demographics
NPI:1407731177
Name:PEREZ-GARCIA, GERARDO (MSN, RN, FNP-BC)
Entity type:Individual
Prefix:MR
First Name:GERARDO
Middle Name:
Last Name:PEREZ-GARCIA
Suffix:
Gender:M
Credentials:MSN, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15102 SW 158TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-5717
Mailing Address - Country:US
Mailing Address - Phone:786-498-4656
Mailing Address - Fax:
Practice Address - Street 1:15102 SW 158TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-5717
Practice Address - Country:US
Practice Address - Phone:786-498-4656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9404327163WE0003X
FL11041575363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency