Individual provider Active NPI

Cirilo C Perez Perez, FNP-BC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1043798358
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11032032 Issued in FL
Practice address
2075 SW 122ND Ave Apt 407
Miami, FL 33175-7338
Phone
(915) 342-7377
NPI assigned
Jul 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1071211 TX
Family Nurse Practitioner 363LF0000X APRN11032032 FL Primary

Addresses

Primary practice location

2075 SW 122ND Ave Apt 407
Miami, FL 33175-7338

Mailing address

2075 SW 122ND Ave Apt 407
Miami, FL 33175-7338
Phone (915) 342-7377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230415000187 TX Practitioner - Nurse Practitioner 5890094999 Reassigns benefits to 1 organization
I20240510000336 FL Practitioner - Nurse Practitioner 5890094999 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Miami, FL 33193
Phone (786) 863-9997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1071211TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Technology Network Inc CurrentSince May 2, 2024 Accepting new patients
WT Health of Florida LLC CurrentSince Mar 28, 2025 Accepting new patients
Woundtech of Texas CurrentSince Mar 20, 2023 Accepting new patients
Adult Solution Home Health, Inc CurrentSince Aug 17, 2015 Accepting new patients
WC Health Professional LLC Family CurrentSince May 23, 2025 Accepting new patients
Wound Technology Network Past Accepting new patients

Locations

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

1626 W Baker Rd
Baytown, TX 77521
Phone (281) 628-7300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1043798358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SW 122ND AVE APT 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757338",
            "telephone_number": "915-342-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SW 122ND AVE APT 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757338",
            "telephone_number": "915-342-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ PEREZ",
        "first_name": "CIRILO",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1071211",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.