Individual provider Active NPI

Aliex Perez Perdigon

  • Family Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1346745569
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9302310 Issued in FL
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

Updated by the provider on Apr 30, 2020

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 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

IdentifierTypeStateIssuer
82-4969884OtherFLSUYAY 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181219001500 FL Practitioner - Nurse Practitioner 3375888340 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9302310FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suyay Health Care Corp Family CurrentSince Apr 6, 2018 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.

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

Verify at the official NPI Registry.