Sanlly Perez Ceballos, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME134850 Issued in FL

Practice address

2727 W Dr Martin Luther King Jr Blvd Ste 850
Tampa, FL 33607-6397

Phone

(813) 871-2717

Fax

(813) 876-3558

NPI assigned

May 1, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sanlly Perez Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

La Vida Medical Group IncGroup PAC ID 2769880350, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• La Vida Medical Group , Inc

  • Internal Medicine Physician
  • Oldsmar, FL
  • NPI 1982377065
  Medicare reassignment Care Compare group NPD Authorized official
• La Vida Medical Group , Inc

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1437960077
  NPD Authorized official
• Optumcare Florida Ci, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
  • NPI 1720506603
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1356728067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 5TH ST N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022211",
            "telephone_number": "813-871-2717",
            "fax_number": "813-876-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD STE 850",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076397",
            "telephone_number": "813-871-2717",
            "fax_number": "813-876-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CEBALLOS",
        "first_name": "SANLLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME134850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANLLY",
            "last_name": "PEREZ",
            "prefix": "MS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dina D Perez Arteaga
• Maria Fernanda Perez Benavides
• Caridad Mileydis Perez Blay
• Dayana Perez Braches
• Darlin Perez Camacho
• Elimarys Perez Colon, MD
• David Rolando Perez Cruz Sr., ARNP
• Lawrence Perez Delgado
• Amanda Perez Diaz
• Ernesto Felipe Perez Diaz

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.