Individual provider Active NPI

Iliana Perera Torres

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1386252278
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1000076 Issued in TX
Practice address
15825 Bellaire Blvd Ste D
Houston, TX 77083-2347
Phone
(832) 328-1911
NPI assigned
Jul 16, 2020
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1000076 TX Primary

Addresses

Primary practice location

15825 Bellaire Blvd Ste D
Houston, TX 77083-2347

Mailing address

15825 Bellaire Blvd
Houston, TX 77083-2331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210318003015 TX Practitioner - Nurse Practitioner 8426465493 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rodriguez Clinical Trials LLC CurrentSince Dec 16, 2020 Accepting new patients

Locations

15825 Bellaire Blvd
Houston, TX 77083
Phone (832) 238-1911

15825 Bellaire Blvd
Ste D
Houston, TX 77083
Phone (281) 879-4768

15825 Bellaire Blvd
Ste H
Houston, TX 77083
Phone (832) 328-1911

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1386252278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770832331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 BELLAIRE BLVD STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770832347",
            "telephone_number": "832-328-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERERA TORRES",
        "first_name": "ILIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1000076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.