Provider Demographics
NPI:1174403562
Name:PEREZ CONTRERAS, MELANY STHEFANI
Entity type:Individual
Prefix:
First Name:MELANY
Middle Name:STHEFANI
Last Name:PEREZ CONTRERAS
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 1:11455 SW 50TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-6005
Mailing Address - Country:US
Mailing Address - Phone:813-619-0810
Mailing Address - Fax:
Practice Address - Street 1:11455 SW 50TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-6005
Practice Address - Country:US
Practice Address - Phone:813-619-0810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty