Active NPI
Julissa Marie Perez, MSN, ARPN, CPNP-PC
- Pediatric Nurse Practitioner
- Miami, FL
National Provider Identifier
1366334021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN11041129
- Practice address
- 1580 NW 10TH Ave Ste 141
Miami, FL 33136-1013 - Phone
- (305) 246-8441
- Fax
- (305) 243-7409
- NPI assigned
- Jul 17, 2025
- Last updated
- Oct 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN11041129 | FL | Primary |
Addresses
Primary practice location
1580 NW 10TH Ave Ste 141
Miami, FL 33136-1013
Mailing address
1580 NW 10TH Ave Ste 141
Miami, FL 33136-1013
Phone (305) 246-8441
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10451 NW 117TH Ave
Suite 200
Medley, FL 33178-1138
PO Box
Atlanta, GA 30384
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11041129 | FL | MD | Primary Care Nurse Practitioner |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1366334021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 NW 10TH AVE STE 141",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361013",
"telephone_number": "305-246-8441",
"fax_number": "305-243-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 NW 10TH AVE STE 141",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361013",
"telephone_number": "305-246-8441",
"fax_number": "305-243-7409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JULISSA",
"middle_name": "MARIE",
"credential": "MSN, ARPN, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-17",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11041129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.