Maricel Jadeth Perez, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23893 Issued in FL

Practice address

500 N Hiatus Rd Ste 109
Pembroke Pines, FL 33026

Phone

(954) 431-8484

NPI assigned

Jun 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Archetype Dental, LLC

  • General Practice Dentistry
  • Coral Springs, FL
  • NPI 1205668605
  NPD Authorized official
• Laura Gonzalez D.M.D, P.a.

  dba Best Smile Cosmetic Dentistry

  • Dental Clinic/Center
  • Pembroke Pines, FL
  • NPI 1013164060

  General Practice

  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1245524123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N HIATUS RD STE 109",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265213",
            "telephone_number": "954-431-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N HIATUS RD STE 109",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-431-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1475 Calle Wilson",
            "address_2": "Suite 1A",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009072357",
            "country_code": "US",
            "telephone_number": "787-728-6165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Hiatus Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "33026",
            "country_code": "US",
            "telephone_number": "954-431-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARICEL",
        "middle_name": "JADETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2874",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Perez, RBT
• Leslie Perez
• Leticia Perez
• Lillian Marie Perez, DPT
• Luis Angel Perez
• Monica Perez, PA
• Neuva Perez, RBT
• Nicholas Perez
• Olga Perez, LMHC
• Patricia Meluza Perez

• General Practice Dentistry in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.