Individual provider Active NPI

Adriel Perez Hernandez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1407423957
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11013330 Issued in FL
Practice address
11611 SW 132ND Ave
Miami, FL 33186-4646
Phone
(786) 715-2762
NPI assigned
Jun 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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 11013330 FL Primary

Addresses

Primary practice location

11611 SW 132ND Ave
Miami, FL 33186-4646

Mailing address

11611 SW 132ND Ave
Miami, FL 33186-4646
Phone (786) 715-2762

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
I20231219000972 FL Practitioner - Nurse Practitioner 4486004314 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013330FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco Adelquis Cruz Mdpa CurrentSince Nov 14, 2023 Accepting new patients

Locations

13500 SW 88th St
Ste 271
Miami, FL 33186
Phone (305) 380-0940

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1407423957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 SW 132ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864646",
            "telephone_number": "786-715-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 SW 132ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864646",
            "telephone_number": "786-715-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ HERNANDEZ",
        "first_name": "ADRIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.