Provider Demographics
NPI:1932630712
Name:PEREZ, GABRIELA (DO)
Entity type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 PONCE DE LEON BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4473
Mailing Address - Country:US
Mailing Address - Phone:786-554-3700
Mailing Address - Fax:
Practice Address - Street 1:2695 S LE JEUNE RD STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33134-5840
Practice Address - Country:US
Practice Address - Phone:305-403-7197
Practice Address - Fax:305-489-8087
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-23
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS174322084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty