Individual provider Active NPI

Teodulo Jose Perez

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1043817232
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009441 Issued in FL
Practice address
3937 SW 25TH CT
Cape Coral, FL 33914-5464
Phone
(786) 470-4563
NPI assigned
Oct 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Family Nurse Practitioner 363LF0000X APRN11009441 FL Primary

Addresses

Primary practice location

3937 SW 25TH CT
Cape Coral, FL 33914-5464

Mailing address

3937 SW 25TH CT
Cape Coral, FL 33914-5464
Phone (786) 470-4563

Other identifiers 1

IdentifierTypeStateIssuer
108947300MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221002378 FL Practitioner - Nurse Practitioner 6901218627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 N Hiatus Rd
215 Florida Center for Allergy and Asthma Car
Pembroke Pines, FL 33026-5207
Phone (954) 437-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates of South Florida PA CurrentSince Dec 2, 2020 Accepting new patients
Allergy & Asthma Associates of South Florida PA CurrentSince Dec 2, 2020 Accepting new patients

Locations

21150 Biscayne Blvd
Ste 408
Aventura, FL 33180
Phone (305) 932-3252

21150 Biscayne Blvd
Ste 40
Aventura, FL 33180
Phone (305) 932-3252

7301 W Palmetto Park Rd
Ste 105C
Boca Raton, FL 33433
Phone (561) 392-8832

475 Biltmore Way
Ste 311
Coral Gables, FL 33134
Phone (305) 445-9422

475 Biltmore Way
Coral Gables, FL 33134
Phone (305) 442-2029

2901 Coral Hills Dr
Ste 310
Coral Springs, FL 33065
Phone (954) 344-8100

2699 Stirling Rd
Ste B305
Ft Lauderdale, FL 33312
Phone (954) 962-5363

2699 Stirling Rd
Ste B100
Ft Lauderdale, FL 33312
Phone (954) 981-9180

1960 NE 47th St
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 772-3366

7150 W 20th Ave
Ste 106
Hialeah, FL 33016
Phone (305) 362-7762

100 NE 15th St
Ste 104
Homestead, FL 33030
Phone (305) 245-1100

11880 SW 40th St
Ste 304
Miami, FL 33175
Phone (305) 223-8808

9035 Sunset Dr
Ste 202
Miami, FL 33173
Phone (305) 279-3366

11880 SW 40th St
Ste C304
Miami, FL 33175

9000 SW 137th Ave
Ste 213
Miami, FL 33186
Phone (305) 388-0078

11880 SW 40th St
Ste 304C
Miami, FL 33175
Phone (305) 223-8919

400 Arthur Godfrey Rd
Ste 504
Miami Beach, FL 33140
Phone (305) 538-8339

16401 NW 2nd Ave
Ste 204
North Miami Beach, FL 33169
Phone (305) 652-8151

3355 Burns Rd
Ste 301
Palm Beach Gardens, FL 33410
Phone (561) 227-1456

14411 S Dixie Hwy
Ste 223
Palmetto Bay, FL 33176
Phone (305) 255-4868

600 N Hiatus Rd
Ste 215
Pembroke Pines, FL 33026
Phone (954) 437-3600

350 NW 84th Ave
Ste 205
Plantation, FL 33324
Phone (954) 472-4848

1397 Medical Park Blvd
Ste 400
Wellington, FL 33414
Phone (561) 844-0120

1290 Weston Rd
Ste 300
Weston, FL 33326
Phone (954) 389-2599

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1043817232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 SW 25TH CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145464",
            "telephone_number": "786-470-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 SW 25TH CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145464",
            "telephone_number": "786-470-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "TEODULO",
        "middle_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-01",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108947300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.