Individual provider Active NPI

Julio Noel Baez Perez, FNP

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1215659214
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08220822 Issued in FL
Practice address
390 S State Road 7
Hollywood, FL 33023-6718
Phone
(954) 743-5522
Fax
(954) 743-5632
NPI assigned
Sep 15, 2022
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F08220822 FL Primary

Addresses

Primary practice location

390 S State Road 7
Hollywood, FL 33023-6718

Mailing address

390 S State Road 7
Hollywood, FL 33023-6718
Phone (954) 743-5522

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801003646 FL Practitioner - Nurse Practitioner 2860853231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Heisu Research Group LLCGroup PAC ID 5890147490, 5 clinicians

Practice addresses (Care Compare)

152 NW 168TH St
2ND Floor
North Miami Beach, FL 33169-5510
Phone (305) 705-3475

NW 168TH St
2ND Floor
North Miami Beach, FL 33169-5510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F08220822FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Neighborhood Medical Centers of South Florida, LLC CurrentSince Jul 21, 2024 Accepting new patients
Nova Medical Services - Urology Division LLC CurrentSince Jul 1, 2024 Accepting new patients
Heisu Research Group LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

390 S State Road 7
Hollywood, FL 33023
Phone (954) 743-5522

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

100 NW 170th St
Ste 105
North Miami Beach, FL 33169
Phone (305) 654-5069

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

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": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1215659214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S STATE ROAD 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236718",
            "telephone_number": "954-743-5522",
            "fax_number": "954-743-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S STATE ROAD 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236718",
            "telephone_number": "954-743-5522",
            "fax_number": "954-743-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ PEREZ",
        "first_name": "JULIO",
        "middle_name": "NOEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F08220822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.