Individual provider Active NPI

Gerardo C Perez, D.O.

  • Family Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1396732038
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0004878 Issued in FL
Practice address
3435 NE 163Rd St
North Miami Beach, FL 33160-4426
Phone
(305) 947-3700
Fax
(305) 947-9610
NPI assigned
Sep 27, 2005
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0004878 FL Primary

Addresses

Primary practice location

3435 NE 163Rd St
North Miami Beach, FL 33160-4426

Mailing address

3435 NE 163Rd St
North Miami Beach, FL 33160-4426
Phone (305) 947-3700

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
I20040807000002 FL Practitioner - General PracticePractitioner - Geriatric Medicine 2264404623 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Geriatric Medicine
Education
Rowan University School of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians Associates PAGroup PAC ID 9739146663, 3 clinicians
JWH North Miami I, LLCGroup PAC ID 0244646412, 2 clinicians

Practice addresses (Care Compare)

10860 SW 88TH St
Miami, FL 33176-2680
Phone (305) 595-1300

16320 NW 59TH Ave
Miami Lakes, FL 33014-5601
Phone (305) 558-1444

2600 S Douglas Rd
Suite 400
Coral Gables, FL 33134-6134

3435 NE 163Rd St
North Miami Beach, FL 33160-4426
Phone (305) 947-3700

9100 S Dadeland Blvd
Suite 1400
Miami, FL 33156-7816

9100 S Dadeland Blvd
Suite 1400
Miami, FL 33156-7846

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0004878FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Associates, LLC. Family Medicine CurrentSince Jul 14, 2024 Accepting new patients
JWH North Miami I, LLC CurrentSince May 1, 2021 Accepting new patients
JWH Miami Lakes I, LLC PastSince Sep 13, 2020 Accepting new patients
Venus Medical Center, Corp. PastSince Aug 9, 2012 Accepting new patients

Locations

2600 S Douglas Rd
Ste 400
Coral Gables, FL 33134

2801 W 12th Ave
Hialeah, FL 33010
Phone (305) 805-9500

10860 SW 88th St
Miami, FL 33176
Phone (305) 552-5545

606 W Flagler St
Miami, FL 33130
Phone (305) 545-9292

9100 S Dadeland Blvd
Ste 1400
Miami, FL 33156

3435 NE 163rd St
North Miami Beach, FL 33160
Phone (305) 947-3700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IABGDD/Endpoint/IABGDD

Organizations & group practices 5

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1396732038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604426",
            "telephone_number": "305-947-3700",
            "fax_number": "305-947-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604426",
            "telephone_number": "305-947-3700",
            "fax_number": "305-947-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "GERARDO",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2022-07-13",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0004878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.