Individual provider Active NPI

Carlos Manuel Perez Hernandez, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1356864300
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11015094 Issued in FL
Practice address
4932 SW 142ND PL
Miami, FL 33175-5024
Phone
(786) 234-3049
NPI assigned
Jul 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F04210204 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11015094 FL Primary

Addresses

Primary practice location

4932 SW 142ND PL
Miami, FL 33175-5024

Mailing address

4932 SW 142ND PL
Miami, FL 33175-5024
Phone (786) 234-3049

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
I20220204001449 FL Practitioner - Nurse Practitioner 7810380318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Serenity Community Mental Health Center LLCGroup PAC ID 4587946793, 14 clinicians
Jyj Medical ServicesGroup PAC ID 3274057039, 3 clinicians

Practice addresses (Care Compare)

3621 SW 107TH Ave
Miami, FL 33165-3636
Phone (786) 534-8366

8756 SW 8TH St
Miami, FL 33174-3201
Phone (786) 223-9751

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F04210204FLMDFamily Nurse Practitioner
APRN11015094FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jyj Medical Services CurrentSince Feb 1, 2026 Accepting new patients

Locations

8770 SW 8th St
Miami, FL 33174
Phone (786) 223-9751

8756 SW 8th St
Miami, FL 33174
Phone (305) 554-4737

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1356864300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 SW 142ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755024",
            "telephone_number": "786-234-3049",
            "fax_number": "305-640-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4932 SW 142ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755024",
            "telephone_number": "786-234-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ HERNANDEZ",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F04210204",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11015094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.