Individual provider Active NPI

Victor Diosnel Perez Figueredo

  • Surgical Assistant
  • Miami Gardens, FL
National Provider Identifier
1205650918
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
24-506 Issued in FL
Practice address
5247 NW 190TH LN
Miami Gardens, FL 33055-2386
Phone
(786) 992-1422
NPI assigned
Nov 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 24-506 FL Primary

Addresses

Primary practice location

5247 NW 190TH LN
Miami Gardens, FL 33055-2386

Mailing address

5247 NW 190TH LN
Miami Gardens, FL 33055-2386
Phone (786) 992-1422

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
24-506FLMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Triple S Therapy Group, LLC PastSince Nov 10, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1205650918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 NW 190TH LN",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552386",
            "telephone_number": "786-992-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5247 NW 190TH LN",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552386",
            "telephone_number": "786-992-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ FIGUEREDO",
        "first_name": "VICTOR",
        "middle_name": "DIOSNEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "24-506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.