IndividualActive
Alejandra De La Rosa Perez, PA-C
NPI 1679386098 · Physician Assistant · Peoria, IL
Provider details
- NPI number
- 1679386098
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085011152 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
530 Ne Glen Oak Ave
Peoria, IL 61637-0001
Phone: (786) 322-9904
Approximate (ZIP-level) locationGet directions
Mailing address
16101 Sw 102nd Ave
Miami, FL 33157-3107
Registry dates
- Enumerated
- 2025-01-29
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.