Organization Active NPI

Jose a. Perez Vila, M. D. , P. a.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1144556119
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME62009 Issued in FL
Legal business name
JOSE A. PEREZ VILA, M. D. , P. A.
Practice address
3600 W Flagler St
Miami, FL 33135-1030
Phone
(305) 444-1401
Fax
(305) 444-4575
NPI assigned
Oct 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Jose Alberto Perez Vila, MDNPI 1598822181
Title
President
Phone
(305) 444-1401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME62009 FL Primary

Addresses

Primary practice location

3600 W Flagler St
Miami, FL 33135-1030

Mailing address

3600 W Flagler St
Miami, FL 33135-1030
Phone (305) 444-1401

Other identifiers 1

IdentifierTypeStateIssuer
370925600MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1144556119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351030",
            "telephone_number": "305-444-1401",
            "fax_number": "305-444-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351030",
            "telephone_number": "305-444-1401",
            "fax_number": "305-444-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A. PEREZ VILA, M. D. , P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ VILA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-444-1401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME62009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370925600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.