Individual provider Active NPI

Alejandro Perez Oliva, APRN

  • Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1366091787
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11022561 Issued in FL
Practice address
6307 W 16TH Ave
Hialeah, FL 33012-6219
Phone
(305) 833-4026
NPI assigned
Sep 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 18-549 FL
Nurse Practitioner 363L00000X 11022561 FL Primary

Addresses

Primary practice location

6307 W 16TH Ave
Hialeah, FL 33012-6219

Mailing address

6304 NW 105TH PL
Doral, FL 33178-3269
Phone (305) 833-4026

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
I20230726003352 FL Practitioner - Nurse Practitioner 1951762798 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18-549FLMDSurgical Assistant
11022561FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Consultants LLP CurrentSince Jul 17, 2023 Accepting new patients

Locations

9960 NW 116th Way
Ste 13
Medley, FL 33178

3911 SW 67th Ave
Miami, FL 33155
Phone (305) 670-7650

8940 SW 88th St
Ste 802E
Miami, FL 33176
Phone (305) 595-4041

Organizations & group practices 1

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1366091787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 NW 105TH PL",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783269",
            "telephone_number": "305-833-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126219",
            "telephone_number": "305-833-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ OLIVA",
        "first_name": "ALEJANDRO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "18-549",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11022561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.