Organization Active NPI

Roberto Perez-Millan, MD, P.a

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
National Provider Identifier
1497937338
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME88669
Legal business name
ROBERTO PEREZ-MILLAN, MD, P.A
Practice address
4600 N. Habana
Suite 28
Tampa, FL 33614-7123
Phone
(813) 873-2800
Fax
(813) 873-2811
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Roberto Perez-Millan, M.D., MD
Title
President/Physician
Phone
(813) 873-2800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X ME88669 FL
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X ME88669 Primary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P2900X ME88669 FL

Addresses

Primary practice location

4600 N. Habana
Suite 28
Tampa, FL 33614-7123

Mailing address

4600 N. Habana
Suite 28
Tampa, FL 33614-7123
Phone (813) 873-2800

Other identifiers 1

IdentifierTypeStateIssuer
272664500MedicaidFL

National Provider Directory

National Provider Directory

Locations

4600 N Habana Ave
Ste 28
Tampa, FL 33614
Phone (813) 348-9088

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1497937338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N. HABANA",
            "address_2": "SUITE 28",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147123",
            "telephone_number": "813-873-2800",
            "fax_number": "813-873-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N. HABANA",
            "address_2": "SUITE 28",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147123",
            "telephone_number": "813-873-2800",
            "fax_number": "813-873-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO PEREZ-MILLAN, MD, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "PEREZ-MILLAN, M.D.",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "813-873-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME88669",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": "ME88669",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME88669",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272664500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.