Individual provider Active NPI

Ernesto Caridad Perez, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1174560478
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9171866 Issued in FL
Practice address
4726 N Habana Ave Ste 100
Tampa, FL 33614-7144
Phone
(813) 549-2134
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9171866 FL Primary

Addresses

Primary practice location

4726 N Habana Ave Ste 100
Tampa, FL 33614-7144

Mailing address

504 N Reo St
Tampa, FL 33609-1013
Phone (813) 549-2134

Other identifiers 2

IdentifierTypeStateIssuer
P00465669OtherRAILROAD -BAYFRONT ANESTHESIA SERVICE PA GRP
305244300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921000170 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567496409 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Partners of America Crna Operations LLCGroup PAC ID 8022239722, 44 clinicians

Practice addresses (Care Compare)

4726 N Habana Ave
Suite 100
Tampa, FL 33614-7144
Phone (813) 769-8855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP9171866FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain Relief Group PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 17, 2024 Accepting new patients
Anesthesiology Professional Services, Inc. CurrentSince Apr 1, 2006 Accepting new patients
North Tampa Anesthesia Consultants CurrentSince Dec 1, 2022 Accepting new patients
Sarasota Anesthesia Services LLC CurrentSince Mar 5, 2008 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Lake Mary Surgery Center LLC Current Accepting new patients
Bayfront Anesthestia Services PA Past Accepting new patients
Texas Pain Relief Group PLLC Past Accepting new patients
Anesthesia Consultants of St Petersburg PA Past Accepting new patients
Advanced Anesthesia Associates LLC Past Accepting new patients
Space Coast Anesthesia Services LLC Past Accepting new patients
Collier Anesthesia PA Past Accepting new patients
First Anesthesia Associates Inc Past Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

11377 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-0907

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

8240 Devereux Dr
Ste 100
Melbourne, FL 32940
Phone (317) 805-4102

2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

4947 Clark Rd
Sarasota, FL 34233
Phone (866) 865-2020

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

1402 W Fletcher Ave
Tampa, FL 33612
Phone (813) 627-4723

2333 W Hillsborough Ave
Ste 110
Tampa, FL 33603
Phone (813) 291-7014

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

1717 Precinct Line Rd
Ste 200
Hurst, TX 76054
Phone (817) 369-3990

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1174560478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N REO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091013",
            "telephone_number": "813-549-2134",
            "fax_number": "813-864-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 N HABANA AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147144",
            "telephone_number": "813-549-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ERNESTO",
        "middle_name": "CARIDAD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9171866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD -BAYFRONT ANESTHESIA SERVICE PA GRP",
            "identifier": "P00465669",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305244300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.