Individual provider Active NPI

Mauricio Javier Pereyra Garcia

  • Family Nurse Practitioner
  • Parkland, FL
National Provider Identifier
1154257988
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11048596 Issued in FL
Practice address
5851 Holmberg Rd Apt 1021
Parkland, FL 33067-4519
Phone
(786) 585-0105
NPI assigned
Jun 19, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 11048596 FL Primary

Addresses

Primary practice location

5851 Holmberg Rd Apt 1021
Parkland, FL 33067-4519

Mailing address

5851 Holmberg Rd Apt 1021
Parkland, FL 33067-4519
Phone (786) 585-0105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1154257988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 HOLMBERG RD APT 1021",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330674519",
            "telephone_number": "786-585-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 HOLMBERG RD APT 1021",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330674519",
            "telephone_number": "786-585-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREYRA GARCIA",
        "first_name": "MAURICIO",
        "middle_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11048596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.