Active NPI
Yissel Perez, RN
- Registered Nurse
- Doral, FL
National Provider Identifier
1194451401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9420538
- Practice address
- 10560 NW 27TH St
Doral, FL 33172-5928 - Phone
- (305) 209-0001
- Fax
- (786) 600-3505
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9420538 | FL | Primary |
Addresses
Primary practice location
10560 NW 27TH St
Doral, FL 33172-5928
Mailing address
12321 SW 39TH Ter
Miami, FL 33175-3030
Phone (305) 209-0001
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | yissel@vivamedicalcenter.com | Direct | VIVA MEDICAL CENTER |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9420538 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viva Medical Center | Current | Accepting new patients |
Locations
10560 NW 27th St
Doral, FL 33172
Phone (305) 209-0001
10560 NW 27th St
Unit G101A
Doral, FL 33172
Phone (305) 209-0001
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCABDD
Organizations & group practices 1
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.
-
- Clinic/Center
- Doral, FL
- NPI 1811575087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1194451401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12321 SW 39TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753030",
"telephone_number": "305-209-0001",
"fax_number": "786-600-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10560 NW 27TH ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331725928",
"telephone_number": "305-209-0001",
"fax_number": "786-600-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "YISSEL",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-28",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9420538",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "yissel@vivamedicalcenter.com",
"affiliation": "Y",
"endpointDescription": "Email",
"affiliationName": "VIVA MEDICAL CENTER",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10560 NW 27th St Unit G101-A",
"city": "Doral",
"state": "FL",
"country_code": "US",
"postal_code": "331725928",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.