Individual provider Active NPI

Jorge Nelson De la Rosa Perez, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1518580562
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1357 Issued in FL
Practice address
13335 SW 124TH St Ste 212
Miami, FL 33186-7515
Phone
(305) 433-2488
Fax
(786) 732-0460
NPI assigned
May 26, 2020
Last updated
Jul 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1357 FL Primary

Addresses

Primary practice location

13335 SW 124TH St Ste 212
Miami, FL 33186-7515

Mailing address

13335 SW 124TH St Ste 212
Miami, FL 33186-7515
Phone (305) 433-2488

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831002151 FL Practitioner - General Practice 6800292863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alberto Manzor MD PAGroup PAC ID 0840453833, 2 clinicians

Practice addresses (Care Compare)

10081 Pines Blvd
Suite B
Pembroke Pines, FL 33024-6171
Phone (954) 251-1175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN1357FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alberto Manzor MD PA CurrentSince Mar 29, 2025 Accepting new patients
Quality Healthy Life Medical Centers, LLC General Practice Past Accepting new patients

Locations

10081 Pines Blvd
Ste B
Pembroke Pines, FL 33024
Phone (954) 251-1175

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1518580562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 SW 124TH ST STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867515",
            "telephone_number": "305-433-2488",
            "fax_number": "786-732-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13335 SW 124TH ST STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867515",
            "telephone_number": "305-433-2488",
            "fax_number": "786-732-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA PEREZ",
        "first_name": "JORGE",
        "middle_name": "NELSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.