Perez Group Medical Service Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC7384 Issued in FL

Legal business name

PEREZ GROUP MEDICAL SERVICE CORP

Practice address

6595 NW 36TH St
Suite 200
Virginia Gardens, FL 33166-6979

Phone

(305) 876-9008

Fax

(305) 876-9060

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Jesus M Perez

Title

President Owner

Phone

(305) 876-9008

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073729372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 200",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "305-876-9008",
            "fax_number": "305-876-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 200",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "305-876-9008",
            "fax_number": "305-876-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ GROUP MEDICAL SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "305-876-9008"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC7384",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julieta Parodi, MHC
• Passport Health Holdings LLC
• Eric Christopher Pena, DPT
• Marieta Pereira
• Hilda Perez Borrego
• Eduardo Perez Martinez
• Miriam Liliana Perez Rodriguez, BEHAVIOR THERAPY
• Jorge Luis Perez
• Physicians Accountable Group, LLC
• Gladys Valentina Pinero

• Clinic/Center in Virginia Gardens, FL
• Providers in Virginia Gardens, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.