Organization Active NPI

Manuel Perez-Espinosa MD PA

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1275770323
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MANUEL PEREZ-ESPINOSA MD PA
Practice address
3600 W Flagler St
Miami, FL 33135-1030
Phone
(305) 444-4520
Fax
(305) 445-6437
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Juan Carlos Perez-Espinosa, DONPI 1487606331
Title
President
Phone
(305) 401-8816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME23805 FL

Addresses

Primary practice location

3600 W Flagler St
Miami, FL 33135-1030

Mailing address

3600 W Flagler St
Miami, FL 33135-1030
Phone (305) 823-8732

Other practice location 1

4990 Palm Ave
Hialeah, FL 33012-3726
Phone (305) 823-8732

Other identifiers 1

IdentifierTypeStateIssuer
113132400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090602000289 FL Part B Supplier - Clinic/Group Practice 5799835393 Receives reassigned benefits from 2 practitioners
Practice locations: Hialeah, FL; Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0719414Manuel Perez Espinosa MD PA3600 W Flagler Street, Coral Gables, FL 33135Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Manuel Perez-Espinosa MD2 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.

Locations

4990 Palm Ave
Ofc
Hialeah, FL 33012
Phone (305) 444-4520

4990 Palm Ave
Hialeah, FL 33012
Phone (305) 823-8732

3600 W Flagler St
Miami, FL 33135
Phone (305) 444-4520

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1275770323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351030",
            "telephone_number": "305-823-8732",
            "fax_number": "305-445-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351030",
            "telephone_number": "305-444-4520",
            "fax_number": "305-445-6437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4990 Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123726",
            "country_code": "US",
            "telephone_number": "305-823-8732",
            "fax_number": "305-445-6437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANUEL PEREZ-ESPINOSA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "PEREZ-ESPINOSA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-401-8816",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME23805",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113132400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.