Individual provider Active NPI

Jumirlet Ortega Perez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1053184341
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029443 Issued in FL
Practice address
6161 Blue Lagoon Dr Ste 170
Miami, FL 33126-2045
Phone
(786) 388-1400
Fax
(786) 388-1219
NPI assigned
Oct 30, 2023
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11029443 FL Primary

Addresses

Primary practice location

6161 Blue Lagoon Dr Ste 170
Miami, FL 33126-2045

Mailing address

1211 W 33Rd St
Hialeah, FL 33012-4807
Phone (786) 202-9563

Other names 1

  • Jumirlet Ortega Perez Professional name

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
I20241014001363 FL Practitioner - Nurse Practitioner 8921530155 Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11029443FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1053184341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W 33RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124807",
            "telephone_number": "786-202-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 BLUE LAGOON DR STE 170",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262045",
            "telephone_number": "786-388-1400",
            "fax_number": "786-388-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA PEREZ",
        "first_name": "JUMIRLET",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUMIRLET",
            "last_name": "ORTEGA PEREZ",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.