Individual provider Active NPI

Paul Jose Perales, M.D.

  • Surgery Physician
  • Hialeah, FL
National Provider Identifier
1033537709
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME141018 Issued in FL
Practice address
4910 E 2ND Ave
Hialeah, FL 33013-1410
Phone
(305) 400-9454
NPI assigned
Mar 31, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X ME141018 FL Primary

Addresses

Primary practice location

4910 E 2ND Ave
Hialeah, FL 33013-1410

Mailing address

4910 E 2ND Ave
Hialeah, FL 33013-1410
Phone (305) 400-9454

Other practice location 1

11750 Bird Rd
Miami, FL 33175-3530
Phone (305) 223-2000 ext. 5935

Other practice location 2

2950 Cleveland Clinic Blvd
Weston, FL 33331-3625
Phone (954) 659-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190822003831 FL Practitioner - General Surgery 2769603133 Reassigns benefits to 2 organizations
I20210325000183 TX Practitioner - General Surgery 2769603133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Surgical Specialists LLCGroup PAC ID 5799881660, 91 clinicians

Practice addresses (Care Compare)

3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172
Phone (561) 939-0455

Hospital & facility affiliations

  • Palmetto General Hospital Hospital, Hialeah, FL, CCN 100187

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME141018FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge L. Sosa, M.D., P.a. Multi-Specialty CurrentSince Jan 1, 2022 Accepting new patients
South Florida Surgical Specialists LLC Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients
Little Lantern Clinic LLC Multi-Specialty CurrentSince Mar 4, 2021 Accepting new patients
Jorge E Ravelo MD PA Multi-Specialty PastSince May 25, 2010 Accepting new patients

Locations

3001 Coral Hills Dr
Ste 320
Coral Springs, FL 33065
Phone (954) 755-0111

2140 W 68th St
Ste 307
Hialeah, FL 33016
Phone (305) 231-1664

3499 W 4th Ave
Ste 201
Hialeah, FL 33012
Phone (305) 558-0411

4910 E 2nd Ave
Hialeah, FL 33013
Phone (305) 400-9454

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

4541 N Josey Ln
Ste 110
Carrollton, TX 75010
Phone (469) 775-9555

9 Medical Pkwy
Ste 210
Farmers Branch, TX 75234
Phone (214) 449-6511

Organizations & group practices 4

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 1

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1033537709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 E 2ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131410",
            "telephone_number": "305-400-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 E 2ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131410",
            "telephone_number": "305-400-9454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 Bird Rd",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753530",
            "country_code": "US",
            "telephone_number": "305-223-2000 x5935",
            "fax_number": "305-227-5556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 Cleveland Clinic Blvd",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313625",
            "country_code": "US",
            "telephone_number": "954-659-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERALES",
        "first_name": "PAUL",
        "middle_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME141018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.