Individual provider Active NPI

Rafael J Perez, MD

  • Specialist
  • South Miami, FL
National Provider Identifier
1528004579
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME75777 Issued in FL
Practice address
7000 SW 62ND Ave
Suite 545-a
South Miami, FL 33143-4724
Phone
(305) 665-2060
Fax
(305) 665-4090
NPI assigned
Jun 20, 2006
Last updated
Mar 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME75777 FL Primary

Addresses

Primary practice location

7000 SW 62ND Ave
Suite 545-a
South Miami, FL 33143-4724

Mailing address

7000 SW 62ND Ave
Suite 545-a
South Miami, FL 33143-4724
Phone (305) 665-2060

Other identifiers 1

IdentifierTypeStateIssuer
270645800MedicaidFL

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
I20040517000270 FL Practitioner - Obstetrics/Gynecology 9234129719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FWC Urogynecology LLCGroup PAC ID 8022276542, 16 clinicians

Practice addresses (Care Compare)

7000 SW 62ND Ave
Miami, FL 33143-4716
Phone (305) 665-2060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME75777FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Oct 1, 2011 Accepting new patients
FWC Urogynecology, LLC CurrentSince Feb 1, 2012 Accepting new patients
Womencare PA Specialist Past Accepting new patients
John C. Ayala, M.D., P.a. Specialist Past Accepting new patients
Adrian Delboca, MD PA Past Accepting new patients
DRS Grabois Firestone and Lebow PA Specialist Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

21110 Biscayne Blvd
Ste 312
Miami, FL 33180
Phone (305) 933-3030

32801 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 724-1966

7000 SW 62nd Ave
South Miami, FL 33143
Phone (305) 665-2060

7000 SW 62nd Ave
Ste 545
South Miami, FL 33143
Phone (305) 665-2060

7000 SW 62nd Ave
Ste 545A
South Miami, FL 33143
Phone (305) 662-9320

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1528004579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE",
            "address_2": "SUITE 545-A",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434724",
            "telephone_number": "305-665-2060",
            "fax_number": "305-665-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE",
            "address_2": "SUITE 545-A",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434724",
            "telephone_number": "305-665-2060",
            "fax_number": "305-665-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RAFAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME75777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270645800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.