Individual provider Active NPI

Rachel Perez, DMD

  • Dentist
  • Coral Gables, FL
National Provider Identifier
1194342626
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25053 Issued in FL
Practice address
4011 W Flagler St Ste 506
Coral Gables, FL 33134-1643
Phone
(305) 643-1444
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25053 FL Primary

Addresses

Primary practice location

4011 W Flagler St Ste 506
Coral Gables, FL 33134-1643

Mailing address

7483 SW 109TH Ave
Miami, FL 33173-2741
Phone (786) 547-5337

Other practice location 1

7483 SW 109th Ave
Miami, FL 33173-2741
Phone (786) 547-5337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN25053FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1194342626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7483 SW 109TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732741",
            "telephone_number": "786-547-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 W FLAGLER ST STE 506",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341643",
            "telephone_number": "305-643-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7483 SW 109th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331732741",
            "country_code": "US",
            "telephone_number": "786-547-5337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RACHEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.