Active NPI
Aliex Perez Perdigon
- Family Nurse Practitioner
- Plantation, FL
National Provider Identifier
1346745569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9302310
- Practice address
- 1776 N Pine Island Rd Ste 106
Plantation, FL 33322-5200 - Phone
- (954) 376-3739
- Fax
- (844) 407-9213
- NPI assigned
- Mar 28, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9302310 | FL | Primary |
Addresses
Primary practice location
1776 N Pine Island Rd Ste 106
Plantation, FL 33322-5200
Mailing address
1776 N Pine Island Rd Ste 106
Plantation, FL 33322-5200
Phone (954) 376-3739
Other practice location 1
13521 SW 181st St
Miami, FL 33177-7121
Phone (786) 631-9591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-4969884 | Other | FL | SUYAY HEALTH CARE CORP |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9302310 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suyay Health Care Corp | Family | Current | Accepting new patients |
| New Beginnings Medical and Rehabilitation Center Inc | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1346745569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 N PINE ISLAND RD STE 106",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225200",
"telephone_number": "954-376-3739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 N PINE ISLAND RD STE 106",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225200",
"telephone_number": "954-376-3739",
"fax_number": "844-407-9213"
}
],
"practiceLocations": [
{
"address_1": "13521 SW 181st St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331777121",
"country_code": "US",
"telephone_number": "786-631-9591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ PERDIGON",
"first_name": "ALIEX",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-28",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9302310",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUYAY HEALTH CARE CORP",
"identifier": "82-4969884",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.