Individual provider Active NPI

Gilberto Perez, MD

  • Internal Medicine Physician
  • Hialeah Gardens, FL
National Provider Identifier
1275735433
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME107744 Issued in FL
Practice address
8302 NW 103Rd St Ste 201
Hialeah Gardens, FL 33016-4698
Phone
(786) 651-2442
Fax
(786) 528-8585
NPI assigned
Jun 1, 2007
Last updated
Apr 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME107744 FL Primary

Addresses

Primary practice location

8302 NW 103Rd St Ste 201
Hialeah Gardens, FL 33016-4698

Mailing address

8302 NW 103Rd St Ste 201
Hialeah Gardens, FL 33016-4698
Phone (786) 651-2442

Other identifiers 3

IdentifierTypeStateIssuer
26317OtherPRMEDICAL LICENSE
ME107744OtherFLMEDICAL LICENSE
018162500MedicaidFL

Other names 1

  • Dr. Gilberto Perez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110510000256 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9739364555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eden Medical Center LLCGroup PAC ID 7517208929, 3 clinicians

Practice addresses (Care Compare)

8302 NW 103 St
Suite 201
Hialeah, FL 33016-4698
Phone (786) 651-2442

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Medical Center, LLC Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Evolution Medical Centers Inc Internal Medicine Current Accepting new patients
Salus Health LLC PastSince Sep 1, 2018 Accepting new patients

Locations

8302 NW 103rd St
Ste 201
Hialeah Gardens, FL 33016
Phone (786) 420-5111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1275735433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 NW 103RD ST STE 201",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330164698",
            "telephone_number": "786-651-2442",
            "fax_number": "786-528-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 NW 103RD ST STE 201",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330164698",
            "telephone_number": "786-651-2442",
            "fax_number": "786-528-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "GILBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME107744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "26317",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME107744",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018162500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GILBERTO",
            "last_name": "PEREZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hialeah Gardens, FL

Sources for this page

Verify at the official NPI Registry.