Individual provider Active NPI

Luis Francisco Perez, RN

  • Technician
  • Miramar, FL
National Provider Identifier
1275749657
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
License
RN9179041 Issued in FL
Practice address
18455 Miramar Pkwy Ste 108
Miramar, FL 33029-5871
Phone
(954) 862-1432
Fax
(954) 862-1437
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X RN9179041 FL Primary

Addresses

Primary practice location

18455 Miramar Pkwy Ste 108
Miramar, FL 33029-5871

Mailing address

18455 Miramar Pkwy Ste 108
Miramar, FL 33029-5871
Phone (954) 862-1432

Other identifiers 1

IdentifierTypeStateIssuer
Y116GOtherFLBCBS

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9179041FLMDTechnician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Diagnostic, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1275749657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18455 MIRAMAR PKWY STE 108",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295871",
            "telephone_number": "954-862-1432",
            "fax_number": "954-862-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18455 MIRAMAR PKWY STE 108",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295871",
            "telephone_number": "954-862-1432",
            "fax_number": "954-862-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LUIS",
        "middle_name": "FRANCISCO",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "FL",
            "license": "RN9179041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y116G",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.