Individual provider Active NPI

Gerardo Miguel Perez, M.D.

  • Ophthalmology Physician
  • Hialeah, FL
National Provider Identifier
1255313573
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME46223 Issued in FL
Practice address
777 East 25 Street
Suite 414
Hialeah, FL 33013-3835
Phone
(305) 835-7588
Fax
(305) 835-6372
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME46223 FL Primary

Addresses

Primary practice location

777 East 25 Street
Suite 414
Hialeah, FL 33013-3835

Mailing address

777 East 25 Street
Suite 414
Hialeah, FL 33013-3835
Phone (305) 835-7588

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1255313573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 EAST 25 STREET",
            "address_2": "SUITE 414",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133835",
            "telephone_number": "305-835-7588",
            "fax_number": "305-835-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 EAST 25 STREET",
            "address_2": "SUITE 414",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133835",
            "telephone_number": "305-835-7588",
            "fax_number": "305-835-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "GERARDO",
        "middle_name": "MIGUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME46223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.