Provider Demographics
NPI:1578083267
Name:PEREIRA, ADELKIS
Entity type:Individual
Prefix:
First Name:ADELKIS
Middle Name:
Last Name:PEREIRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8731 SW 192ND TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-8954
Mailing Address - Country:US
Mailing Address - Phone:786-389-8813
Mailing Address - Fax:305-723-2777
Practice Address - Street 1:8731 SW 192ND TER
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-8954
Practice Address - Country:US
Practice Address - Phone:786-389-8813
Practice Address - Fax:305-723-2777
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT12004227900000X
2279H0200X, 2279P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
No2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health
No2279P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Rehabilitation