Teresa Vidal Perez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11036635 Issued in FL

Practice address

6838 W 25TH Ave
Hialeah, FL 33016-5467

Phone

(786) 461-0557

NPI assigned

Dec 3, 2024

Last updated

Dec 3, 2024By the provider in NPPES

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

Practice roles

Locations

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.

• Vidal Health Solution Inc

  • Nurse Practitioner
  • Hialeah, FL
  • NPI 1427848134
  Medicare reassignment NPD Authorized official
• Elemental Living Inc

  • Chiropractor
  • Coral Gables, FL
  • NPI 1205617404

  Family

  Medicare reassignment NPD
• Healing Wounds, Happier Hearts, LLC

  • Gerontology Nurse Practitioner
  • Miami, FL
  • NPI 1114492394
  Medicare reassignment NPD
• Happy Hearts Wounds LLC

  • Wound Care Registered Nurse
  • Miami, FL
  • NPI 1477343937
  NPD

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1417773748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 W 25TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165467",
            "telephone_number": "786-461-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6838 W 25TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165467",
            "telephone_number": "786-461-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL PEREZ",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vida Therapy Centers
• Vida Vital LLC (vida medical services)
• Vidal Health Solution Inc
• Dachely Vidal Leyva
• Monica Vidal Munoz
• Vidal Services Inc
• Flor Maria Vidal, MPT
• Leslie Maverick Vidal
• Linnet Vidal
• Raul Vidal

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, 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 Dec 3, 2024; 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.