Organization Active NPI

Cape Heart Group Inc

  • Cardiovascular Disease Physician
  • Merritt Island, FL
National Provider Identifier
1154304657
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CAPE HEART GROUP INC
Practice address
255 Borman Dr
Suite 202
Merritt Island, FL 32953-3486
Phone
(321) 454-4461
Fax
(321) 454-4977
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. Victor Teofilo Perez, MD
Title
President
Phone
(321) 454-4461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

255 Borman Dr
Suite 202
Merritt Island, FL 32953-3486

Mailing address

255 Borman Dr
Suite 202
Merritt Island, FL 32953-3486
Phone (321) 454-4461

Other identifiers 1

IdentifierTypeStateIssuer
BC/BS OF FLORIDAOtherFL38549

National Provider Directory

National Provider Directory

Locations

255 Borman Dr
Ste 202
Merritt Island, FL 32953
Phone (321) 454-4461

255 Borman Dr
Ste 202N
Merritt Island, FL 32953
Phone (321) 454-4461

Practitioners & affiliated clinicians

Practitioners 4

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": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1154304657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 BORMAN DR",
            "address_2": "SUITE 202",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533486",
            "telephone_number": "321-454-4461",
            "fax_number": "321-454-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BORMAN DR",
            "address_2": "SUITE 202",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533486",
            "telephone_number": "321-454-4461",
            "fax_number": "321-454-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE HEART GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "TEOFILO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-454-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "38549",
            "identifier": "BC/BS OF FLORIDA",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.