Individual provider Active NPI

Josue Landin Perez, ARNP

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1144909094
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11025021 Issued in FL
Practice address
15529 Bull Run Rd
Miami Lakes, FL 33014-7004
Phone
(305) 328-8922
Fax
(786) 224-6489
NPI assigned
Jul 17, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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 11025021 FL Primary

Addresses

Primary practice location

15529 Bull Run Rd
Miami Lakes, FL 33014-7004

Mailing address

18862 NW 86TH CT Apt 4002
Hialeah, FL 33015-7232
Phone (786) 362-4390

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
I20240717000356 FL Practitioner - Nurse Practitioner 1456896232 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11025021FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centers of Medical Excellence, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

7925 NW 12th St
Ste 201
Doral, FL 33126

1176 SW 67th Ave
Miami, FL 33144
Phone (305) 359-9838

15529 Bull Run Rd
Miami Lakes, FL 33014
Phone (305) 328-8922

Organizations & group practices 1

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1144909094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18862 NW 86TH CT APT 4002",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330157232",
            "telephone_number": "786-362-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15529 BULL RUN RD",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147004",
            "telephone_number": "305-328-8922",
            "fax_number": "786-224-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIN PEREZ",
        "first_name": "JOSUE",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.