Active NPI
Guibel Perera, M.D.
- Nephrology Physician
- Miami, FL
National Provider Identifier
1003928425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 15682
- Practice address
- 10710 SW 38TH St
Miami, FL 33165-3619 - Phone
- (305) 392-1000
- Fax
- (786) 332-4357
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 15682 | PR | Primary |
Addresses
Primary practice location
10710 SW 38TH St
Miami, FL 33165-3619
Mailing address
PO Box 261016
Miami, FL 33126-0018
Phone (305) 392-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277806800 | Medicaid | FL | |
| 09748 | Other | FL | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070612000616 | FL | Practitioner - Internal Medicine | 3577661776 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10710 SW 38TH St
Miami, FL 33165-3619
Hospital & facility affiliations
- DaVita Tamiami Dialysis
- DaVita Kendall Kidney Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15682 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hernandez Roman Nephrology Corp | Nephrology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nephrology Physician
- Miami, FL
- NPI 1366893232
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Miami, FL
- NPI 1194492074
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Miami, FL
- NPI 1164748273
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1003928425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 261016",
"city": "MIAMI",
"state": "FL",
"postal_code": "331260018",
"telephone_number": "305-392-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 SW 38TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653619",
"telephone_number": "305-392-1000",
"fax_number": "786-332-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERERA",
"first_name": "GUIBEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PR",
"license": "15682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277806800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "09748",
"state": "FL"
}
],
"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 Feb 1, 2013; 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.