Grisel De la Fe Perez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11004802 Issued in FL

Practice address

740 NW 45TH Ave
Miami, FL 33126

Phone

(786) 478-5501

NPI assigned

Oct 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1417590084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 NW 45TH AVE APT G6",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262402",
            "telephone_number": "786-478-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 NW 45TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "786-478-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 NW 46th St Apt G6",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331272344",
            "country_code": "US",
            "telephone_number": "786-478-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA FE PEREZ",
        "first_name": "GRISEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oveimar Alexander De la Cruz
• Vanessa De la Cruz, FNP-BC
• Yaquelin De la Cruz
• Marlene A De la Cuesta Salgarella
• Carolina De la Cuesta, M.D
• Renato De la Flor
• Daniel De la Fuente Balboa, DMD
• De la Fuente Behavioral Services LLC
• Maria De la Fuente Perez
• Merly De la Fuente Zabala

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.