Organization Active NPI

Mariela Perez MD PA

  • Family Medicine Physician
  • Homestead, FL
National Provider Identifier
1174797724
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME92090 Issued in FL
Legal business name
MARIELA PEREZ MD PA
Practice address
2048 NE 8TH St
Homestead, FL 33033
Phone
(305) 245-8858
Fax
(305) 245-8865
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Mariela Perez, MDNPI 1811082449
Title
Medical Director
Phone
(305) 245-8858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME92090 FL Primary

Addresses

Primary practice location

2048 NE 8TH St
Homestead, FL 33033

Mailing address

4490 SW 63Rd Ave
Miami, FL 33155-5929
Phone (305) 245-8858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080619000645 FL Part B Supplier - Clinic/Group Practice 1456422310 Receives reassigned benefits from 1 practitioner
Practice locations: Homestead, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1089698Mariela Perez MD PA2048 NE 8TH St, Homestead, FL 33033Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory

Locations

2048 NE 8th St
Homestead, FL 33033
Phone (305) 245-8858

Practitioners & affiliated clinicians

Practitioners 1

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": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1174797724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 SW 63RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555929",
            "telephone_number": "305-245-8858",
            "fax_number": "305-245-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 NE 8TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33033",
            "telephone_number": "305-245-8858",
            "fax_number": "305-245-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIELA PEREZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-245-8858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME92090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.