Individual provider Active NPI

Vandely Perez, MD

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1003848268
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME85113 Issued in FL
Practice address
5378 W 16TH Ave
Hialeah, FL 33012-2165
Phone
(305) 820-4101
Fax
(305) 820-2885
NPI assigned
Jul 7, 2006
Last updated
Jun 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME85113 FL Primary

Addresses

Primary practice location

5378 W 16TH Ave
Hialeah, FL 33012-2165

Mailing address

5378 W 16TH Ave
Hialeah, FL 33012-2165
Phone (305) 820-4101

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206001119 FL Practitioner - Family PracticePractitioner - General PracticePractitioner - Pediatric Medicine 3274599717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

5378 W 16TH Ave
Hialeah, FL 33012-2165
Phone (305) 820-4101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME85113FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Claremedica Viking LLC CurrentSince Feb 3, 2025 Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Jun 9, 2024 Accepting new patients
Senior Medical Associates LLC Past Accepting new patients
Complete Medical Rehab & Family General Practice Past Accepting new patients
Housecall Doctors of South Florida Past Accepting new patients

Locations

5378 W 16th Ave
Hialeah, FL 33012
Phone (305) 820-4101

27455 S Dixie Hwy
Unit 1
Homestead, FL 33032
Phone (305) 245-3247

11348 Quail Roost Dr
Miami, FL 33157
Phone (305) 253-1660

1000 NW 57th Ct
Ste 400
Miami, FL 33126

291 SW 27th Ave
Miami, FL 33135
Phone (305) 585-1828

15105 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 455-2737

15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737

Networks

  • AL HMO D-SNP
  • FL HMO
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL HMO C-SNP
  • AL HMO
  • FL HMO D-SNP

Interoperability endpoints

  • Direct secure messaging: vandely.perezmd.p1@direct.caremax.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECDJCD/Endpoint/ECDJCD

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1003848268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5378 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122165",
            "telephone_number": "305-820-4101",
            "fax_number": "305-820-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5378 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122165",
            "telephone_number": "305-820-4101",
            "fax_number": "305-820-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "VANDELY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME85113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.