Individual provider Active NPI

Jorge Ernesto Sandelis Perez, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1104351683
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME146692 Issued in FL
Practice address
2601 SW 37TH Ave Ste 802
Miami, FL 33133-2751
Phone
(305) 717-4754
NPI assigned
Apr 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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 ME146692 FL Primary

Addresses

Primary practice location

2601 SW 37TH Ave Ste 802
Miami, FL 33133-2751

Mailing address

2601 SW 37TH Ave Ste 802
Miami, FL 33133-2751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201027002694 FL Practitioner - Internal Medicine 3476963786 Reassigns benefits to 4 organizations
I20250606001756 CO Practitioner - Internal Medicine 3476963786 Reassigns benefits to 1 organization
I20260106001182 TX Practitioner - Internal Medicine 3476963786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 Lawrence St
Suite 101
Denver, CO 80205-3422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME146692FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Colorado, Inc CurrentSince Jun 1, 2025 Accepting new patients
Centennial Medical Centers, LLC CurrentSince Apr 22, 2025 Accepting new patients
Cirrusmd Medical Group of Delaware, P.a. CurrentSince Nov 1, 2025 Accepting new patients
MD Max Medical Group PLLC Internal Medicine CurrentSince Apr 10, 2025 Accepting new patients
Chen Medical Aventura, Inc. Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Cmdpn Medical Group of Texas, P.a. CurrentSince Nov 5, 2025 Accepting new patients

Locations

3000 Lawrence St
Ste 101
Denver, CO 80205

3000 Lawrence St
#101
Denver, CO 80205
Phone (720) 996-0522

2025 Bighorn Rd
Fort Collins, CO 80525
Phone (970) 229-9800

3519 Richmond Dr
Fort Collins, CO 80526
Phone (970) 204-0300

2801 NE 213th St
Ste 101
Miami, FL 33180
Phone (305) 466-7333

2601 SW 37th Ave
Ste 802
Miami, FL 33133
Phone (305) 447-6688

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1104351683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 802",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 802",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332751",
            "telephone_number": "305-717-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDELIS PEREZ",
        "first_name": "JORGE",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME146692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.