Blas Perez MD Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BLAS PEREZ MD CORP

Practice address

18611 SW 93Rd Ave
Cutler Bay, FL 33157-7945

Phone

(305) 979-5104

NPI assigned

Jun 30, 2020

Organization subpart

No

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

Authorized official

Name

Blas Perez de la Cruz, MDNPI 1154697258

Title

Owner

Phone

(305) 979-5104

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Blas Perez MD Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blas Perez MD Corp

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1467175588
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blas Perez de la Cruz, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1154697258
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1265059810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18611 SW 93RD AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577945",
            "telephone_number": "305-979-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18611 SW 93RD AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577945",
            "telephone_number": "305-979-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAS PEREZ MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "PEREZ DE LA CRUZ",
        "authorized_official_first_name": "BLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-979-5104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Blair-Pottinger, PA
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• Brenda Diaz Blomeley
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• Blue Point Home Care Inc.

• Internal Medicine Physician in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.