Individual provider Active NPI

Alberto Rodriguez Perez

  • Case Management Agency
  • Tamarac, FL
National Provider Identifier
1417524315
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Practice address
8333 W McNab Rd Ste 207
Tamarac, FL 33321-3203
Phone
(786) 770-1747
NPI assigned
Jun 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X FL Primary

Addresses

Primary practice location

8333 W McNab Rd Ste 207
Tamarac, FL 33321-3203

Mailing address

2748 SW 21St St
Miami, FL 33145-2306
Phone (786) 770-1747

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL libertybehavioralcenter@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Behavioral Center LLC Case Management CurrentSince Jun 22, 2021 Accepting new patients

Locations

8333 W McNab Rd
Ste 207
Tamarac, FL 33321
Phone (786) 770-1747

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1417524315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 SW 21ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452306",
            "telephone_number": "786-770-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD STE 207",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213203",
            "telephone_number": "786-770-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ PEREZ",
        "first_name": "ALBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "libertybehavioralcenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "8333 W McNab Rd Ste 207",
            "city": "Tamarac",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333213203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.