Individual provider Active NPI

Claudia Virginia Perez Correa, APRN

  • Family Nurse Practitioner
  • Doral, FL
National Provider Identifier
1124817200
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11039166 Issued in FL
Practice address
4440 NW 107TH Ave Apt 208
Doral, FL 33178-1883
Phone
(305) 322-1706
NPI assigned
May 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 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 11039166 FL Primary

Addresses

Primary practice location

4440 NW 107TH Ave Apt 208
Doral, FL 33178-1883

Mailing address

4440 NW 107TH Ave Apt 208
Doral, FL 33178-1883
Phone (305) 322-1706

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
I20250903000476 FL Practitioner - Nurse Practitioner 8729588629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12550 Biscayne Blvd
Suite 5906
North Miami, FL 33181-2541

PO Box
Suite 297681
Pembroke Pines, FL 33029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11039166FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santos OBGYN Advanced Care LLC CurrentSince Aug 1, 2025 Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients

Locations

12550 Biscayne Blvd
Ste 906
North Miami, FL 33181
Phone (305) 931-7960

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFAFCA/Endpoint/DFAFCA

Organizations & group practices 2

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": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1124817200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 NW 107TH AVE APT 208",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331781883",
            "telephone_number": "305-322-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 NW 107TH AVE APT 208",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331781883",
            "telephone_number": "305-322-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CORREA",
        "first_name": "CLAUDIA",
        "middle_name": "VIRGINIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11039166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.