Ana V Perdomo

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

10820 Carloway Hills Dr
Wimauma, FL 33598-6141

Phone

(813) 490-5490

NPI assigned

Feb 18, 2010

Last updated

Apr 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1063734028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 CARLOWAY HILLS DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335986141",
            "telephone_number": "813-490-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 CARLOWAY HILLS DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335986141",
            "telephone_number": "813-490-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDOMO",
        "first_name": "ANA",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teanikee Lacha Ortiz, RN
• Allyson Christine Pagan-Rodriguez, MD
• Kunjal Patel
• Jonathan Pavlinec, MD
• Sierra Pearson
• Diana Gabriela Perez Vazquez
• Rachelle Dorvilier Petit Homme, PHARMD
• Yvonnisha Erline Pierre
• Collin Plummer
• Emmanuel Polanco

• Case Manager/Care Coordinator in Wimauma, FL
• Providers in Wimauma, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.