Maribelis Perez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME112229 Issued in FL

Practice address

14027 5TH St
Dade City, FL 33525-4302

Phone

(813) 782-6064

Fax

(813) 782-0984

NPI assigned

Jun 30, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy.et1256.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Premier Community Healthcare Group Inc

  • Federally Qualified Health Center (FQHC)
  • Zephyrhills, FL
  • NPI 1225000318
  NPD (past)

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1215224043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14027 5TH ST",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254302",
            "telephone_number": "352-518-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14027 5TH ST",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254302",
            "telephone_number": "813-782-6064",
            "fax_number": "813-782-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARIBELIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME112229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Florida Inc
• Lissette Pedrayes-Valdes, RPH
• Geneva Leigh Penix, RN
• Jose R. Peralta, DDS
• Adriana Perez
• Mia Perez
• Seida Perez, LMHC
• Thanh Pham
• Parag Pitroda, MD
• Dayanara Polanco

• Pediatrics Physician in Dade City, FL
• Providers in Dade City, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.