Diabetes & Weight Loss Center LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DIABETES & WEIGHT LOSS CENTER LLC

Practice address

1410 W Broadway St Ste 203
Oviedo, FL 32765-6472

Phone

(407) 865-2716

NPI assigned

Aug 2, 2022

Organization subpart

No

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

Authorized official

Name

Adriel Perez, APRNNPI 1083276158

Title

MGR

Phone

(407) 890-1876

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adriel Perez, APRN

  • Family Nurse Practitioner
  • Oviedo, FL
  • NPI 1083276158
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1114654902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W BROADWAY ST STE 203",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656472",
            "telephone_number": "407-890-1876",
            "fax_number": "888-498-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W BROADWAY ST STE 203",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656472",
            "telephone_number": "407-865-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES & WEIGHT LOSS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ADRIEL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "407-890-1876",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Descheneaux Eyecare LLC
• Kale Dewey
• Thyra Kristin Dewey, PTA
• Jamilette Diaz-Rivera
• Desiree Ann Diaz, PHD, APRN, FNP-BC
• Ivan Diaz, PT
• Yamarie Diaz, LPTA
• Madison Diloren, LMT

• Family Nurse Practitioner in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.