Organization Active NPI

Perez & Perez Medical Group, Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1497510275
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PEREZ & PEREZ MEDICAL GROUP, INC
Practice address
1321 SW 107TH Ave Ste 211a
Miami, FL 33174-2522
Phone
(786) 238-7439
Fax
(786) 814-5703
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Elena Fowler, OWNER
Title
RN
Phone
(786) 232-5294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1321 SW 107TH Ave Ste 211a
Miami, FL 33174-2522

Mailing address

1321 SW 107TH Ave Ste 211a
Miami, FL 33174-2522
Phone (786) 238-7439

National Provider Directory

National Provider Directory

Locations

1321 SW 107th Ave
Ste 211A
Miami, FL 33174
Phone (786) 238-7439

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1497510275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 SW 107TH AVE STE 211A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742522",
            "telephone_number": "786-238-7439",
            "fax_number": "786-814-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 SW 107TH AVE STE 211A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742522",
            "telephone_number": "786-238-7439",
            "fax_number": "786-814-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ & PEREZ MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "786-232-5294",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.