Provider Demographics
NPI:1013889104
Name:MARQUEZ PEREZ, DAIMY CAMILA
Entity type:Individual
Prefix:
First Name:DAIMY
Middle Name:CAMILA
Last Name:MARQUEZ PEREZ
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 1:709 TAMIAMI CANAL RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2552
Mailing Address - Country:US
Mailing Address - Phone:786-316-6560
Mailing Address - Fax:
Practice Address - Street 1:709 TAMIAMI CANAL RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2552
Practice Address - Country:US
Practice Address - Phone:786-316-6560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-461130106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician