Active NPI
Arles Perdomo MD PA
- Family Medicine Physician
- Hialeah, FL
National Provider Identifier
1194464065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ARLES PERDOMO MD PA
- Practice address
- 777 E 25TH St Ste 502
Hialeah, FL 33013-3834 - Phone
- (305) 497-6688
- Fax
- (786) 553-2667
- NPI assigned
- May 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arles Perdomo, MD,PA
- Title
- Owner
- Phone
- (786) 683-1865
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
777 E 25TH St Ste 502
Hialeah, FL 33013-3834
Mailing address
777 E 25TH St Ste 502
Hialeah, FL 33013-3834
Phone (305) 497-6688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5038 Coronado Pkwy
Naples, FL 34116
Phone (239) 234-6835
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1497001663
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- NPI 1801940200
FL, General Practice
-
- Family Nurse Practitioner
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- NPI 1427906429
-
- Family Nurse Practitioner
- Miami Springs, FL
- NPI 1184319246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717977600000",
"number": "1194464065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 E 25TH ST STE 502",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133834",
"telephone_number": "305-497-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 E 25TH ST STE 502",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133834",
"telephone_number": "305-497-6688",
"fax_number": "786-553-2667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARLES PERDOMO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-31",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A",
"authorized_official_last_name": "PERDOMO",
"authorized_official_first_name": "ARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-683-1865",
"authorized_official_credential": "MD,PA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.