Active NPI
Juan Carlos Perez, RN
- Registered Nurse
- Miami Lakes, FL
National Provider Identifier
1346610938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9244504
- Practice address
- 6911 Main St
Apt. 204
Miami Lakes, FL 33014-7009 - Phone
- (954) 816-9014
- NPI assigned
- Sep 25, 2015
- Last updated
- Sep 25, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9244504 | FL | Primary |
Addresses
Primary practice location
6911 Main St
Apt. 204
Miami Lakes, FL 33014-7009
Mailing address
6911 Main St
Apt. 204
Miami Lakes, FL 33014-7009
Phone (954) 816-9014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9244504 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1346610938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6911 MAIN ST",
"address_2": "APT. 204",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330147009",
"telephone_number": "954-816-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6911 MAIN ST",
"address_2": "APT. 204",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330147009",
"telephone_number": "954-816-9014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JUAN",
"middle_name": "CARLOS",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-25",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9244504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.