Individual provider Active NPI

Idania Lucia Perez-Burgos, ARNP

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1053304121
Registry record updated Jun 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP2688452 Issued in FL
Practice address
7306 SW 117TH Ave
Miami, FL 33183-3804
Phone
(786) 663-6498
Fax
(786) 772-7030
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP2688452 FL Primary

Addresses

Primary practice location

7306 SW 117TH Ave
Miami, FL 33183-3804

Mailing address

3131 SW 112TH Ave
Miami, FL 33165-2223
Phone (786) 663-6498

Other identifiers 1

IdentifierTypeStateIssuer
304082800MedicaidFL

Other names 1

  • Mrs. Idania Lucia Perez Arnp 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
I20031217000126 FL Practitioner - Nurse Practitioner 5092612176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2688452FLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749945600000",
    "number": "1053304121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 SW 112TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652223",
            "telephone_number": "786-663-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833804",
            "telephone_number": "786-663-6498",
            "fax_number": "786-772-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-BURGOS",
        "first_name": "IDANIA",
        "middle_name": "LUCIA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2025-06-15",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2688452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304082800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IDANIA",
            "last_name": "PEREZ ARNP",
            "middle_name": "LUCIA",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.