Individual provider Active NPI

Maribel Jacqueline Perez, APRN

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1104636141
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035085 Issued in FL
Practice address
5555 Ponce de Leon Blvd FL 3
Coral Gables, FL 33146-2513
Phone
(305) 243-8644
NPI assigned
Jan 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11035085 FL Primary

Addresses

Primary practice location

5555 Ponce de Leon Blvd FL 3
Coral Gables, FL 33146-2513

Mailing address

5555 Ponce de Leon Blvd FL 3
Coral Gables, FL 33146-2513

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
I20250930001056 FL Practitioner - Nurse Practitioner 9739685751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1321 NW 14TH St
Suite 510
Miami, FL 33125-1659
Phone (305) 243-5554

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035085FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Jul 28, 2025 Accepting new patients
University of Miami CurrentSince Jul 28, 2025 Accepting new patients
University of Miami Current Accepting new patients
University of Miami Past Accepting new patients

Locations

5555 Ponce de Leon Blvd
Fl 3
Coral Gables, FL 33146
Phone (305) 270-3429

5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1321 NW 14th St
Ste 510
Miami, FL 33125
Phone (305) 689-1800

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1295 NW 14th St
Fl 1
Miami, FL 33125

1400 NW 12th Ave
Bldg Stea
Miami, FL 33136

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mperez99048@direct.med.miami.edu

Organizations & group practices 4

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.

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": "1736553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1104636141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PONCE DE LEON BLVD FL 3",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PONCE DE LEON BLVD FL 3",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462513",
            "telephone_number": "305-243-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARIBEL",
        "middle_name": "JACQUELINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.