Active NPI
Johanna Mariel Perez, A.P.
- Acupuncturist
- Boca Raton, FL
National Provider Identifier
1508954983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP 2156
- Practice address
- 4722 NW 2ND Ave
C 108
Boca Raton, FL 33431-4802 - Phone
- (561) 715-9920
- Fax
- (561) 988-5351
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP 2156 | FL | Primary |
Addresses
Primary practice location
4722 NW 2ND Ave
C 108
Boca Raton, FL 33431-4802
Mailing address
4722 NW 2ND Ave
C 108
Boca Raton, FL 33431-4802
Phone (561) 715-9920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 2156 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1508954983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4722 NW 2ND AVE",
"address_2": "C 108",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314802",
"telephone_number": "561-715-9920",
"fax_number": "561-988-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4722 NW 2ND AVE",
"address_2": "C 108",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314802",
"telephone_number": "561-715-9920",
"fax_number": "561-988-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JOHANNA",
"middle_name": "MARIEL",
"credential": "A.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP 2156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.