Organization Active NPI

Lisa Perez-Grossman, M.D., P.a.

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1487835922
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0071327 Issued in FL
Legal business name
LISA PEREZ-GROSSMAN, M.D., P.A.
Practice address
1235 SW 87TH Ave
Miami, FL 33174-3306
Phone
(305) 269-1990
Fax
(305) 269-1970
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Dr. Lisa Maria Perez-Grossman, M.D.
Title
Dr.
Phone
(305) 269-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME0071327 FL Primary

Addresses

Primary practice location

1235 SW 87TH Ave
Miami, FL 33174-3306

Mailing address

1235 SW 87TH Ave
Miami, FL 33174-3306
Phone (305) 269-1990

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0970414Perez Grossman LLC1235 SW 87TH Ave, Miami, FL 33174Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory

Locations

1235 SW 87th Ave
Miami, FL 33174
Phone (305) 269-1990

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1487835922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743306",
            "telephone_number": "305-269-1990",
            "fax_number": "305-269-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743306",
            "telephone_number": "305-269-1990",
            "fax_number": "305-269-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA PEREZ-GROSSMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ-GROSSMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "305-269-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0071327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.