Individual provider Active NPI

Herides Alina Hernandez Perez, MD

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1295317055
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1453 Issued in FL
Practice address
6726 Hanley Rd
Tampa, FL 33634-4739
Phone
(813) 284-7903
NPI assigned
Apr 22, 2021
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PR
General Practice Physician 208D00000X ACN1453 FL Primary

Addresses

Primary practice location

6726 Hanley Rd
Tampa, FL 33634-4739

Mailing address

1400 NW 107TH Ave Ste 500
Sweetwater, FL 33172-2746

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
I20230531000999 FL Practitioner - General Practice 8426424847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Verimed Health Group Zephyrhills LLCGroup PAC ID 1052687852, 2 clinicians

Practice addresses (Care Compare)

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

37900 Daughtery Rd
Suite 1
Zephyrhills, FL 33541-1316
Phone (813) 788-5531

7611 Cita LN
Unit 101
New Port Richey, FL 34653-6206
Phone (727) 376-9400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Feb 1, 2026 Accepting new patients
March,Katz,Rodriguez,MD's,PA Single Specialty Current Accepting new patients
Millennium Physician Group LLC Single Specialty CurrentSince Feb 1, 2026 Accepting new patients
Verimed Health Group Zephyrhills LLC Single Specialty CurrentSince Nov 20, 2023 Accepting new patients

Locations

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

37900 Daughtery Rd
Ste 1
Zephyrhills, FL 33541
Phone (813) 715-4446

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295317055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 107TH AVE STE 500",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 HANLEY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344739",
            "telephone_number": "813-284-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ PEREZ",
        "first_name": "HERIDES",
        "middle_name": "ALINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.