Individual provider Active NPI

Ileana R Perez-Quintairos, M.D.

  • Procedural Dermatology Physician
  • South Miami, FL
National Provider Identifier
1376566802
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
ME59703 Issued in FL
Practice address
6310 Sunset Dr
South Miami, FL 33143-4823
Phone
(305) 669-2799
Fax
(305) 662-5895
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X ME59703 FL Primary

Addresses

Primary practice location

6310 Sunset Dr
South Miami, FL 33143-4823

Mailing address

6310 Sunset Dr
South Miami, FL 33143-4823
Phone (305) 669-2799

Other names 1

  • Dr. Ileana R Perez Other name

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
I20070830000179 FL Practitioner - Dermatology 3274626668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Florida College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Derm Group LLPGroup PAC ID 9335478908, 32 clinicians

Practice addresses (Care Compare)

6310 Sunset Dr
South Miami, FL 33143-4823
Phone (305) 669-2799

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions78
Removal or shaving of skin growth26
Skin biopsy61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME59703FLMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco Flores MD PA Current Accepting new patients
The Derm Group LLP CurrentSince Sep 1, 2019 Accepting new patients
Flor Mayoral-Vega MD PA PastSince Jun 29, 2021 Accepting new patients

Locations

11760 SW 40th St
Ste 451
Miami, FL 33175
Phone (305) 227-9233

14601 SW 29th St
Ste 206
Miramar, FL 33027
Phone (954) 885-5551

6310 Sunset Dr
South Miami, FL 33143
Phone (305) 662-5895

11924 Forest Hill Blvd
Ste 10A411
Wellington, FL 33414

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: iperez@sunsetderm.emadirect.md
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00136
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00135

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1376566802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SUNSET DR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434823",
            "telephone_number": "305-669-2799",
            "fax_number": "305-662-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SUNSET DR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434823",
            "telephone_number": "305-669-2799",
            "fax_number": "305-662-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-QUINTAIROS",
        "first_name": "ILEANA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME59703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILEANA",
            "last_name": "PEREZ",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.