Individual provider Active NPI

Guibel Perera, M.D.

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1003928425
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
15682 Issued in PR
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

Updated by the provider on Feb 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
277806800MedicaidFL
09748OtherFLBCBS

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
I20070612000616 FL Practitioner - Internal MedicinePractitioner - Nephrology 3577661776

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
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 Dialysis facility, Miami, FL, CCN 682738
  • DaVita Kendall Kidney Center Dialysis facility, Miami, FL, CCN 102897

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15682PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hernandez Roman Nephrology Corp Nephrology PastSince Mar 15, 2007 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.