Individual provider Active NPI

Miguel Angel Perez, M.D.

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1194769687
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0085542 Issued in FL
Practice address
777 E 25TH Street
Suite 219
Hialeah, FL 33013-3850
Phone
(305) 836-6805
Fax
(305) 696-0856
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0085542 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME0085542 FL

Addresses

Primary practice location

777 E 25TH Street
Suite 219
Hialeah, FL 33013-3850

Mailing address

PO Box 140219
Coral Gables, FL 33114-0219
Phone (305) 836-6805

Other identifiers 1

IdentifierTypeStateIssuer
265069001MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426000320 FL Practitioner - PsychiatryPractitioner - Internal Medicine 1456399013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Miguel Angel Perez MD PAGroup PAC ID 7810935475, 2 clinicians

Practice addresses (Care Compare)

777 E 25 St
Hialeah, FL 33013-3850
Phone (305) 836-6805

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0085542FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miguel Angel Perez MD PA Internal Medicine CurrentSince Mar 3, 2005 Accepting new patients

Locations

777 E 25th St
Ste 219
Hialeah, FL 33013
Phone (305) 510-1746

2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577

Interoperability endpoints

  • Direct secure messaging: wghmapere@yourcarecommunity.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1194769687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140219",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331140219",
            "telephone_number": "305-836-6805",
            "fax_number": "305-696-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH STREET",
            "address_2": "SUITE 219",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133850",
            "telephone_number": "305-836-6805",
            "fax_number": "305-696-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0085542",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME0085542",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265069001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.