Individual provider Active NPI

Nelson Perez Mateu, M.D

  • Internal Medicine Physician
  • Aventura, FL
National Provider Identifier
1053645457
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 112075 Issued in FL
Practice address
20601 E Dixie Hwy Ste 340
Aventura, FL 33180-1542
Phone
(786) 923-4000
NPI assigned
Oct 1, 2009
Last updated
Dec 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 112075 FL Primary

Addresses

Primary practice location

20601 E Dixie Hwy Ste 340
Aventura, FL 33180-1542

Mailing address

5900 Collins Ave Apt 1503
Miami, FL 33140-2229
Phone (786) 315-3181

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140225002172 FL Practitioner - Internal Medicine 3870723505 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians
L.S.L Medical Center, IncGroup PAC ID 6305079815, 5 clinicians

Practice addresses (Care Compare)

14701 NW 77TH Ave
Miami Lakes, FL 33014-2500
Phone (786) 662-0700

4640 W Flagler St
Coral Gables, FL 33134-1513
Phone (305) 443-8229

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 112075FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Criticare Clinics Inc CurrentSince Jun 17, 2017 Accepting new patients
L.S.L Medical Center, Inc Internal Medicine CurrentSince Apr 21, 2022 Accepting new patients
A Joyful Heart Home Services LLC CurrentSince May 14, 2021 Accepting new patients
Oasis Mental Health Center LLC Past Accepting new patients
Fastcare LLC PastSince Jul 6, 2016 Accepting new patients

Locations

10 Giralda Ave
Coral Gables, FL 33134
Phone (786) 459-5000

1240 S Dixie Hwy
Coral Gables, FL 33146
Phone (305) 669-2833

4640 W Flagler St
Coral Gables, FL 33134
Phone (305) 443-8229

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

9915 NW 41st St
Doral, FL 33178
Phone (305) 271-8851

2097 W 76th St
Hialeah, FL 33016
Phone (305) 333-2975

2660 Brickell Ave
Miami, FL 33129
Phone (786) 467-5320

8324 SW 40th St
Miami, FL 33155
Phone (305) 417-3050

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300

12472 W Sunrise Blvd
Sunrise, FL 33323
Phone (305) 297-3561

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1053645457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 COLLINS AVE APT 1503",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331402229",
            "telephone_number": "786-315-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20601 E DIXIE HWY STE 340",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801542",
            "telephone_number": "786-923-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MATEU",
        "first_name": "NELSON",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 112075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.