| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARIO PEREZ LUQUE | 1164264636 | 2024-06-09 |
Mario Perez Luque is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164264636. Registration indicates Mario Perez Luque is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Primary Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Primary Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Mario Perez Luque APRN |
| Practice Office Address | 1840 SW 64TH AVE MIAMI, FL US |
| Practice Office Telephone | 7866265131 |
| Mailing Address | 1840 SW 64TH AVE MIAMI, FL 331551977 US |
| Business Telephone | 7866265131 |
| Code | Practice | License No State |
|---|---|---|
| 363LP2300X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Primary Care All Other Specialties & Provider Types Nurse Practitioner Primary Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | APRN11029564
FL |