Active NPI
Leriam Camila Segundo Perez
- Student in an Organized Health Care Education/Training Program
- Fort Lauderdale, FL
National Provider Identifier
1265252845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 47372
- Practice address
- 3300 S University Dr
Ft Lauderdale, FL 33328-2004 - Phone
- (800) 541-6682
- NPI assigned
- Oct 16, 2024
- Last updated
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 47372 | FL | Primary |
Addresses
Primary practice location
3300 S University Dr
Ft Lauderdale, FL 33328-2004
Mailing address
2295 Chesterfield Circle
Lakeland, FL 33813
Phone (787) 525-5613
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 |
|---|---|---|---|
| 47372 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1265252845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 CHESTERFIELD CIRCLE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33813",
"telephone_number": "787-525-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 S UNIVERSITY DR",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333282004",
"telephone_number": "800-541-6682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGUNDO PEREZ",
"first_name": "LERIAM",
"middle_name": "CAMILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "47372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.