Individual provider Active NPI

Sulay Perez de la Iglesia, APRNCB

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1144862541
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004669 Issued in FL
Practice address
8415 Coral Way
Miami, FL 33155-2305
Phone
(305) 685-5688
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 11004669 FL Primary

Addresses

Primary practice location

8415 Coral Way
Miami, FL 33155-2305

Mailing address

9000 NW 15TH St Unit 6
Doral, FL 33172-2990
Phone (786) 894-6358

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
I20200204000086 FL Practitioner - Nurse Practitioner 1759717127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMFL Medical Centers LLCGroup PAC ID 6103299326, 13 clinicians

Practice addresses (Care Compare)

1565 W 29TH St
Hialeah, FL 33012-5516
Phone (305) 537-4110

8415 SW 24TH St
Miami, FL 33155-2305
Phone (305) 537-4115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004669FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMFL Medical Centers LLC Current Accepting new patients
VMFL Medical Centers LLC CurrentSince Nov 1, 2023 Accepting new patients
VMFL Medical Centers LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

9000 NW 15th St
Unit 6
Doral, FL 33172
Phone (305) 505-7149

1565 W 29th St
Hialeah, FL 33012
Phone (305) 537-4110

8415 SW 24th St
Miami, FL 33155
Phone (305) 262-6868

8601 SW 124th Ave
Miami, FL 33183
Phone (305) 537-4111

109 Royal Palm Way
Palm Beach, FL 33480

9980 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 334-3151

Interoperability endpoints

  • Direct secure messaging: sulay.perezdelacaridad.p1@direct.vivamasmedical.nextgenshare.com

Organizations & group practices 3

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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1144862541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 NW 15TH ST UNIT 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722990",
            "telephone_number": "786-894-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552305",
            "telephone_number": "305-685-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DE LA IGLESIA",
        "first_name": "SULAY",
        "credential": "APRNCB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.