Individual provider Active NPI

Alejandro Perez, APRN

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1407256480
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-9269573 Issued in FL
Practice address
2400 E Commercial Blvd Ste 218
Fort Lauderdale, FL 33308-4022
Phone
(305) 334-6163
Fax
(786) 513-3811
NPI assigned
Aug 27, 2014
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-9269573 FL Primary

Addresses

Primary practice location

2400 E Commercial Blvd Ste 218
Fort Lauderdale, FL 33308-4022

Mailing address

13762 W State Road 84 # 95
Davie, FL 33325-5305
Phone (305) 334-6163

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150304000484 FL Practitioner - Nurse Practitioner 2668798943 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound-Well LLCGroup PAC ID 1456705862, 3 clinicians
Living Water Wellness Center, LLCGroup PAC ID 3577901529, 3 clinicians

Practice addresses (Care Compare)

Miami, FL 33186
Phone (305) 916-1965

2400 E Commercial Blvd
Suite 218
Fort Lauderdale, FL 33308-4022
Phone (305) 334-6163

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-9269573FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Living Water Wellness Center, LLC CurrentSince Feb 1, 2024 Accepting new patients
Wound-Well LLC CurrentSince Apr 1, 2024 Accepting new patients
Lake Mary Family Care P a CurrentSince Aug 14, 2017 Accepting new patients
Salas Primary Care LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

13762 W State Road 84
Davie, FL 33325
Phone (305) 213-5373

2400 E Commercial Blvd
Ste 218
Ft Lauderdale, FL 33308
Phone (305) 334-6163

2194 Highway A1A
Ste 206
Indian Harbour Beach, FL 32937
Phone (321) 209-5144

274 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937
Phone (321) 514-0759

330 Waymont Ct
Lake Mary, FL 32746
Phone (407) 330-6151

500 Village Pl
Longwood, FL 32779
Phone (407) 406-9432

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1407256480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13762 W STATE ROAD 84 # 95",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255305",
            "telephone_number": "305-334-6163",
            "fax_number": "786-513-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E COMMERCIAL BLVD STE 218",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084022",
            "telephone_number": "305-334-6163",
            "fax_number": "786-513-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ALEJANDRO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN-9269573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.