Individual provider Active NPI

Victor Barbosa Perez, APRN-FNP

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1306720818
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11041146 Issued in FL
Practice address
14411 Commerce Way Ste 310
Miami Lakes, FL 33016-1532
Phone
(786) 870-5979
Fax
(786) 870-5967
NPI assigned
Aug 5, 2025
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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 11041146 FL Primary

Addresses

Primary practice location

14411 Commerce Way Ste 310
Miami Lakes, FL 33016-1532

Mailing address

14411 Commerce Way Ste 310
Miami Lakes, FL 33016-1532
Phone (786) 870-5979

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
I20251001003151 FL Practitioner - Nurse Practitioner 4789180464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Care Community Center LLCGroup PAC ID 1759812720, 3 clinicians

Practice addresses (Care Compare)

14411 Commerce Way
Suite 310
Miami Lakes, FL 33016-1532
Phone (786) 474-1134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11041146FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Care Community Center LLC Family CurrentSince Aug 28, 2025 Accepting new patients

Locations

14411 Commerce Way
Ste 310
Miami Lakes, FL 33016
Phone (786) 307-9484

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, 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": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1306720818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 310",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161532",
            "telephone_number": "786-870-5979",
            "fax_number": "786-870-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 310",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161532",
            "telephone_number": "786-870-5979",
            "fax_number": "786-870-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOSA PEREZ",
        "first_name": "VICTOR",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11041146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.