Active NPI
Cira Perera
- Other Technician
- Hialeah Gardens, FL
National Provider Identifier
1255789830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 12275 NW 99TH Ave
Hialeah Gardens, FL 33018-2969 - Phone
- (786) 617-3402
- NPI assigned
- May 24, 2016
- Reactivated
- Oct 12, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
12275 NW 99TH Ave
Hialeah Gardens, FL 33018-2969
Mailing address
12275 NW 99TH Ave
Hialeah Gardens, FL 33018-2969
Phone (786) 617-3402
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1255789830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12275 NW 99TH AVE",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330182969",
"telephone_number": "786-617-3402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12275 NW 99TH AVE",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330182969",
"telephone_number": "786-617-3402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERERA",
"first_name": "CIRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2018-10-12",
"deactivation_date": "2018-08-08",
"reactivation_date": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.