Organization Active NPI

Buena Vista Medical Services Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1184634818
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BUENA VISTA MEDICAL SERVICES INC
Practice address
11805 SW 46TH St
Miami, FL 33175-4739
Phone
(305) 610-2526
Fax
(305) 221-5224
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Dr. Carlos A Perez, M.D.NPI 1649289471
Title
Owner/Physician
Phone
(305) 610-2526

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 FL Primary

Addresses

Primary practice location

11805 SW 46TH St
Miami, FL 33175-4739

Mailing address

11805 SW 46TH St
Miami, FL 33175-4739
Phone (305) 610-2526

Other identifiers 1

IdentifierTypeStateIssuer
AG701OtherFLGENERAL PRACTICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071119000078 FL Part B Supplier - Clinic/Group Practice 0749378180 Receives reassigned benefits from 1 practitioner
Practice locations: North Miami, FL; Miami Springs, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

8920 N Kendall Dr
Miami, FL 33176
Phone (305) 271-6311

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1184634818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 SW 46TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754739",
            "telephone_number": "305-610-2526",
            "fax_number": "305-221-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 SW 46TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754739",
            "telephone_number": "305-610-2526",
            "fax_number": "305-221-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "305-610-2526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL PRACTICE",
            "identifier": "AG701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.