Individual provider Active NPI

Rosanna Perez, MD

  • General Practice Physician
  • Cutler Bay, FL
National Provider Identifier
1437670478
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1186 Issued in FL
Practice address
18430 S Dixie Hwy Ste 101
Cutler Bay, FL 33157-6816
Phone
(305) 253-0040
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1186 FL Primary

Addresses

Primary practice location

18430 S Dixie Hwy Ste 101
Cutler Bay, FL 33157-6816

Mailing address

12931 SW 49TH Ter
Miami, FL 33175-5301
Phone (786) 925-3170

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191017001088 FL Practitioner - General Practice 1153652409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates of South Florida, P.a.Group PAC ID 3577759893, 3 clinicians

Practice addresses (Care Compare)

1380 NE Miami Gardens Dr
Suite 100
North Miami Beach, FL 33179-4708
Phone (305) 940-6973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN1186FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of South Florida, P.a. CurrentSince Mar 11, 2023 Accepting new patients
Miami Premier Medical Center P.a. PastSince Mar 11, 2023 Accepting new patients

Locations

1380 NE Miami Gardens Dr
Ste 100
North Miami Beach, FL 33179
Phone (305) 940-6973

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBGBDA/Endpoint/JBGBDA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1437670478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12931 SW 49TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755301",
            "telephone_number": "786-925-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18430 S DIXIE HWY STE 101",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576816",
            "telephone_number": "305-253-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ROSANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.