Individual provider Active NPI

Yanet Perez Prieto

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1306296603
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9295429 Issued in FL
Practice address
1501 NW 36TH St
Miami, FL 33142-5559
Phone
(786) 378-8200
Fax
(305) 907-5871
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9295429 FL Primary

Addresses

Primary practice location

1501 NW 36TH St
Miami, FL 33142-5559

Mailing address

15890 SW 85TH LN
Miami, FL 33193-5208
Phone (786) 877-1646

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180405000466 FL Practitioner - Nurse Practitioner 9739442708 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9295429FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centers of Medical Excellence, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

7925 NW 12th St
Ste 201
Doral, FL 33126

50 NW 15th St
Ste 101
Homestead, FL 33030
Phone (786) 515-9771

1176 SW 67th Ave
Miami, FL 33144
Phone (305) 359-9838

5850 W Flagler St
Miami, FL 33144
Phone (305) 263-9590

1501 NW 36th St
Miami, FL 33142
Phone (786) 260-8151

Organizations & group practices 2

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1306296603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15890 SW 85TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935208",
            "telephone_number": "786-877-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425559",
            "telephone_number": "786-378-8200",
            "fax_number": "305-907-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ PRIETO",
        "first_name": "YANET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9295429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.