Individual provider Active NPI

Yanet Perez, APRN

  • Primary Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1215588108
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
TEMPARN0028 Issued in GA
Practice address
9380 Sunset Dr Ste B245
Miami, FL 33173-5466
Phone
(305) 223-0570
Fax
(305) 223-0580
NPI assigned
Sep 23, 2019
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 003780 NJ
Family Nurse Practitioner 363LF0000X 10327 FL
Family Nurse Practitioner 363LF0000X CNP64170 ID
Primary Care Nurse Practitioner 363LP2300X TEMPARN0028 GA Primary

Addresses

Primary practice location

9380 Sunset Dr Ste B245
Miami, FL 33173-5466

Mailing address

9380 Sunset Dr Ste B245
Miami, FL 33173-5466
Phone (305) 223-0570

Other identifiers 1

IdentifierTypeStateIssuer
P360OtherFLDL

Other names 1

  • Yanet Rodriguez Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Corporateoffice@reloiablealliance.Healthcare Direct

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
10327FLMDFamily Nurse Practitioner
CNP64170IDMDFamily Nurse Practitioner
003780NJMDFamily Nurse Practitioner
TEMPARN0028GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Providers of Florida LLC CurrentSince Oct 9, 2022 Accepting new patients
Reliable Alliance Healthcare Single Specialty CurrentSince Oct 27, 2019 Accepting new patients

Locations

10300 Sunset Dr
Ste 414
Miami, FL 33173
Phone (786) 203-5379

9380 Sunset Dr
Ste B245
Miami, FL 33173
Phone (305) 223-0570

Interoperability endpoints

  • Direct secure messaging: corporateoffice@reloiablealliance.healthcare

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1215588108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9380 SUNSET DR STE B245",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735466",
            "telephone_number": "305-223-0570",
            "fax_number": "305-223-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 SUNSET DR STE B245",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735466",
            "telephone_number": "305-223-0570",
            "fax_number": "305-223-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "YANET",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "003780",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "10327",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "CNP64170",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "TEMPARN0028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "P360",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Corporateoffice@reloiablealliance.Healthcare",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "gmo",
            "address_1": "9380 Sunset Dr Ste B245",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331735466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "YANET",
            "last_name": "RODRIGUEZ",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.