Individual provider Active NPI

Raisa Perez

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1417582784
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11006497 Issued in FL
Practice address
8370 W Flagler St
Miami, FL 33144-2094
Phone
(305) 928-7249
Fax
(305) 630-3632
NPI assigned
Mar 7, 2020
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11006497 FL Primary
Family Nurse Practitioner 363LF0000X APRN11006497 FL

Addresses

Primary practice location

8370 W Flagler St
Miami, FL 33144-2094

Mailing address

17510 NW 47TH CT
Miami Gardens, FL 33055-3604

Other practice location 1

17510 NW 47th Ct
Miami Gardens, FL 33055-3604
Phone (786) 970-3013

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
I20210407002495 FL Practitioner - Nurse Practitioner 6305253444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Critical Care Services LLCGroup PAC ID 2466714241, 151 clinicians

Practice addresses (Care Compare)

1100 NW 95 St
Miami, FL 33150-2038
Phone (305) 928-7249

3100 S Douglas Rd
Coral Gables Hospital
Coral Gables, FL 33134-6914
Phone (305) 928-7249

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503
Phone (305) 928-7249

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (305) 661-9404

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Critical Care Services LLC CurrentSince Jan 4, 2021 Accepting new patients
Collins Intensivist Group, PA CurrentSince Feb 23, 2024 Accepting new patients

Locations

8370 W Flagler St
Ste 226
Miami, FL 33144
Phone (305) 917-5414

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

Organizations & group practices 2

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": "1583539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1417582784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 NW 47TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442094",
            "telephone_number": "305-928-7249",
            "fax_number": "305-630-3632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17510 NW 47th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330553604",
            "country_code": "US",
            "telephone_number": "786-970-3013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RAISA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-07",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11006497",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.