Individual provider Active NPI

Jose Perera, ARNP-FNP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1497287213
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP-9255335 Issued in FL
Practice address
1150 NW 72ND Ave Ste 350
Miami, FL 33126-1947
Phone
(305) 591-1606
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP-9255335 FL Primary

Addresses

Primary practice location

1150 NW 72ND Ave Ste 350
Miami, FL 33126-1947

Mailing address

6045 SW 162ND Ave
Miami, FL 33193-5805
Phone (786) 333-5933

Other practice location 1

6045 SW 162nd Ave
Miami, FL 33193-5805
Phone (786) 333-5933

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
I20180809004163 FL Practitioner - Nurse Practitioner 0941558852 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Opuscare of Florida LLCGroup PAC ID 4981018587, 3 clinicians

Practice addresses (Care Compare)

6900 SW 80TH St
Miami, FL 33143-4931
Phone (305) 591-1606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP-9255335FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services LLC CurrentSince May 1, 2021 Accepting new patients
Opuscare of Florida LLC CurrentSince Nov 6, 2020 Accepting new patients
Robert M Jaeger D.O., P.a. CurrentSince Jun 14, 2024 Accepting new patients
N/a Family Past Accepting new patients

Locations

11355 SW 84th St
Miami, FL 33173
Phone (305) 270-7000

6900 SW 80th St
Miami, FL 33143
Phone (305) 591-1606

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1497287213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 SW 162ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935805",
            "telephone_number": "786-333-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE STE 350",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261947",
            "telephone_number": "305-591-1606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6045 SW 162nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331935805",
            "country_code": "US",
            "telephone_number": "786-333-5933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERERA",
        "first_name": "JOSE",
        "credential": "ARNP-FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP-9255335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.