Provider Demographics
NPI:1770396681
Name:PEREZ AGUILAR, SAIMELIN N
Entity type:Individual
Prefix:
First Name:SAIMELIN
Middle Name:N
Last Name:PEREZ AGUILAR
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 1:4183 KIVEY DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-1717
Mailing Address - Country:US
Mailing Address - Phone:561-607-0111
Mailing Address - Fax:954-982-2814
Practice Address - Street 1:4183 KIVEY DR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-1717
Practice Address - Country:US
Practice Address - Phone:561-607-0111
Practice Address - Fax:954-982-2814
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator