Efrain Jose Perez Pino

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11035092 Issued in FL

Practice address

15060 SW 117TH Ter
Miami, FL 33196-6808

Phone

(305) 733-8573

NPI assigned

Nov 18, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Nova and Venus Medical Center LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1407658123
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1285459966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15060 SW 117TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966808",
            "telephone_number": "305-733-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15060 SW 117TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966808",
            "telephone_number": "305-733-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ PINO",
        "first_name": "EFRAIN",
        "middle_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Perez Perez, MD
• Sheila Perez Perez
• Taimi Perez Perez
• Meylis Perez Pijeira, MS
• Erica M Perez Pimentel
• Denia Perez Pizarro
• Roxany Perez Podio
• Ruben Perez Polo, ARNP
• Isabella Perez Pombo
• Milady Perez Portales

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.