Provider Demographics
NPI:1932081213
Name:PEREA REYES, KATHERINE ESPERANZA (CNA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ESPERANZA
Last Name:PEREA REYES
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8931 TAFT ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-4648
Mailing Address - Country:US
Mailing Address - Phone:786-462-3511
Mailing Address - Fax:786-462-3511
Practice Address - Street 1:8931 TAFT ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-4648
Practice Address - Country:US
Practice Address - Phone:786-462-3511
Practice Address - Fax:786-462-3511
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA371740376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide