Active NPI
Raphael E Perez MD OD Mba Inc
- Optometrist
- Miami, FL
National Provider Identifier
1326344870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- RAPHAEL E PEREZ MD OD MBA INC
- Practice address
- 11466 S.W. Quail Roost Drive
Miami, FL 33157 - Phone
- (305) 255-8559
- Fax
- (305) 255-7880
- NPI assigned
- Feb 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raphael E. Perez, M.D., O.D, MBA
- Title
- President
- Phone
- (786) 853-1079
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
11466 S.W. Quail Roost Drive
Miami, FL 33157
Mailing address
524 Fernwood Road
Miami, FL 33149-1842
Phone (305) 255-8559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1120 SW 8th St
Miami, FL 33130
Phone (305) 379-3937
11466 Quail Roost Dr
Miami, FL 33157
Phone (305) 255-8559
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Miami, FL
- NPI 1164545992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448323200000",
"number": "1326344870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 FERNWOOD ROAD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331491842",
"telephone_number": "305-255-8559",
"fax_number": "305-255-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11466 S.W. QUAIL ROOST DRIVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33157",
"telephone_number": "305-255-8559",
"fax_number": "305-255-7880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAPHAEL E PEREZ MD OD MBA INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-01",
"last_updated": "2015-11-24",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "RAPHAEL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-853-1079",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., O.D, MBA"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.