Provider Demographics
NPI:1700765294
Name:DE PAZ PEREZ, LAZARO F (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:LAZARO
Middle Name:F
Last Name:DE PAZ PEREZ
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25423 SW 127TH PL
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-5717
Mailing Address - Country:US
Mailing Address - Phone:305-496-8986
Mailing Address - Fax:
Practice Address - Street 1:25423 SW 127TH PL
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-5717
Practice Address - Country:US
Practice Address - Phone:305-496-8986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9625229163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse