Miguel De Jesus Perez Martinez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9383159 Issued in FL

Practice address

9635 SW 181St Ter
Palmetto Bay, FL 33157-5630

Phone

(305) 238-8561

Fax

(305) 238-4089

NPI assigned

Oct 27, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coral Reef Medical Group LLCGroup PAC ID 5395808885, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: miguel.perez.martinez.1@26687.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HCCEBD/Endpoint/HCCEBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coral Reef Medical Group LLC

  • Internal Medicine Physician
  • Homestead, FL
  • NPI 1982870143
  Medicare reassignment Care Compare group NPD
• South Dade Primary Care, LLC

  • Non-Pharmacy Dispensing Site
  • Miami, FL
  • NPI 1467003889
  NPD
• Joseph Thevenin Jr, MD PA

  • Internal Medicine Physician
  • Palmetto Bay, FL
  • NPI 1760784268
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1003288291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "786-485-1005",
            "fax_number": "786-441-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 SW 181ST TER",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575630",
            "telephone_number": "305-238-8561",
            "fax_number": "305-238-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MARTINEZ",
        "first_name": "MIGUEL",
        "middle_name": "DE JESUS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-27",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9383159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somairi Pereira
• Angel Roman Perez Castillo
• Hannah Perez Chavez, MD
• Iliana Flora Perez Gonzalez, RBT
• Yaima Perez Lugo
• Laura Perez Morejon, DMD
• Dunay Perez Rosales
• Dalia Perez
• Erika Perez
• Maryerey M Perez, BEHAVIOR TECHNICIAN

• Family Nurse Practitioner in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.