Active NPI
Ernesto Perez, LMT
- Legal Medicine
- Miami, FL
National Provider Identifier
1003154907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- MA58518
- Practice address
- 917 SW 87TH Ave
Miami, FL 33174-3206 - Phone
- (305) 266-3903
- Fax
- (305) 266-4749
- NPI assigned
- Jan 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | MA58518 | FL | Primary |
Addresses
Primary practice location
917 SW 87TH Ave
Miami, FL 33174-3206
Mailing address
917 SW 87TH Ave
Miami, FL 33174-3206
Phone (305) 266-3903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA58518 | FL | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1003154907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 SW 87TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331743206",
"telephone_number": "305-266-3903",
"fax_number": "305-266-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 SW 87TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331743206",
"telephone_number": "305-266-3903",
"fax_number": "305-266-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ERNESTO",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-28",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "FL",
"license": "MA58518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.