Active NPI
Fernando Perez III
- Counselor
- Brownsville, TX
National Provider Identifier
1174001002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 76039
- Practice address
- 3505 Boca Chica Blvd Ste 149
Brownsville, TX 78521-4064 - Phone
- (956) 371-9477
- NPI assigned
- Aug 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 76039 | TX | Primary |
Addresses
Primary practice location
3505 Boca Chica Blvd Ste 149
Brownsville, TX 78521-4064
Mailing address
3505 Boca Chica Blvd Ste 149
Brownsville, TX 78521-4064
Phone (956) 371-9477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76039 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1174001002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 BOCA CHICA BLVD STE 149",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785214064",
"telephone_number": "956-371-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 BOCA CHICA BLVD STE 149",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785214064",
"telephone_number": "956-371-9477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "FERNANDO",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-02",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "76039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.