Individual provider Active NPI

Rebeca Lidia Perez Sanchez, MD

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1356871735
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ANC938 Issued in FL
Practice address
2900 Loopdale LN
Kissimmee, FL 34741-7658
Phone
(689) 221-0039
NPI assigned
Jun 18, 2017
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ANC938 FL Primary

Addresses

Primary practice location

2900 Loopdale LN
Kissimmee, FL 34741-7658

Mailing address

2900 Loopdale LN
Kissimmee, FL 34741-7658
Phone (689) 221-0039

Other practice location 1

13017 Islamorada Dr
Orlando, FL 32837-4789
Phone (407) 592-3345

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170824000539 FL Practitioner - Family PracticePractitioner - General Practice 9335411495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2900 Loopdale LN
Kissimmee, FL 34741-7658
Phone (689) 221-0039

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ANC938FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RPS Primary Medical Center PLLC CurrentSince Jul 4, 2021 Accepting new patients
RPS Primary Medical Center PLLC CurrentSince Jul 8, 2021 Accepting new patients
Wellmed Medical Management of Florida Inc PastSince Jul 11, 2017 Accepting new patients

Locations

2900 Loopdale Ln
Kissimmee, FL 34741
Phone (407) 900-0232

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDGECD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1356871735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LOOPDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417658",
            "telephone_number": "689-221-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOOPDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417658",
            "telephone_number": "689-221-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13017 Islamorada Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328374789",
            "country_code": "US",
            "telephone_number": "407-592-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ SANCHEZ",
        "first_name": "REBECA",
        "middle_name": "LIDIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ANC938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.