Organization Active NPI

Miguel Angel Perez MD PA

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1386723252
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MIGUEL ANGEL PEREZ MD PA
Practice address
777 E 25TH Street
Suite 219
Hialeah, FL 33013-3850
Phone
(305) 836-6805
Fax
(305) 696-0856
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Dr. Miguel A Perez, M.D.NPI 1194769687
Title
Medical Doctor
Phone
(305) 836-6805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X FL Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X FL

Addresses

Primary practice location

777 E 25TH Street
Suite 219
Hialeah, FL 33013-3850

Mailing address

PO Box 140219
Coral Gables, FL 33114-0219
Phone (305) 836-6805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422001072 FL Part B Supplier - Clinic/Group Practice 7810935475 Receives reassigned benefits from 4 practitioners
Practice locations: Hialeah, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

752 W Flagler St
Ste 101
Miami, FL 33130
Phone (305) 324-6500

9260 Sunset Dr
Ste 201
Miami, FL 33173
Phone (305) 266-2291

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1386723252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140219",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331140219",
            "telephone_number": "305-836-6805",
            "fax_number": "305-696-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH STREET",
            "address_2": "SUITE 219",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133850",
            "telephone_number": "305-836-6805",
            "fax_number": "305-696-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL ANGEL PEREZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-836-6805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.