Active NPI
Maipu Perez
- Social Worker
- Miami, FL
National Provider Identifier
1245858620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0101004
- Practice address
- 11018 SW 6TH St
Miami, FL 33174-1318 - Phone
- (786) 970-4188
- NPI assigned
- Jul 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | 0101004 | FL | Primary |
Addresses
Primary practice location
11018 SW 6TH St
Miami, FL 33174-1318
Mailing address
11018 SW 6TH St
Miami, FL 33174-1318
Phone (786) 970-4188
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101004 | FL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angels at Work Foundation Corp | Past | Accepting new patients | |
| Fenix Care Services Corp | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1518596097
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1568006435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1245858620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11018 SW 6TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331741318",
"telephone_number": "786-970-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11018 SW 6TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331741318",
"telephone_number": "786-970-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MAIPU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-11",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "0101004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.