Individual provider Active NPI

Jose Victor Perez, D.O

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1528208691
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS10877 Issued in FL
Practice address
680 N University Drive
Pembroke Pines, FL 33024-6868
Phone
(954) 538-6868
Fax
(954) 538-6868
NPI assigned
Mar 2, 2009
Last updated
Oct 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS10877 FL Primary

Addresses

Primary practice location

680 N University Drive
Pembroke Pines, FL 33024-6868

Mailing address

680 N University Dr
Pembroke Pines, FL 33024-6738
Phone (954) 538-6868

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
I20100901000476 FL Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 9638293384 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jose V Perez DO PAGroup PAC ID 4587973284, 10 clinicians

Practice addresses (Care Compare)

15538 NW 83Rd PL
Miami Lakes, FL 33016-5862
Phone (305) 322-7582

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue175
Removal of skin lesions29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stronghealth Network PLLC CurrentSince Jan 9, 2018 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Nov 5, 2010 Accepting new patients
Jose V Perez DO PA CurrentSince May 17, 2015 Accepting new patients
Medway Medical Centers LLC Family Medicine CurrentSince Jun 23, 2021 Accepting new patients
New Care Medical & Wellness Group, LLC CurrentSince Jan 28, 2022 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Nov 5, 2010 Accepting new patients
Florida Post Acute Care Clinicians, LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Jose V. Perez, D.O., P.a. Family Medicine Past Accepting new patients

Locations

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

19301 SW 87th Ave
Cutler Bay, FL 33157
Phone (305) 256-3500

450 N McDonald Ave
Deland, FL 32724
Phone (386) 738-0212

3033 Sarno Rd
Melbourne, FL 32934
Phone (321) 243-8593

815 NW 57th Ave
Ste 130
Miami, FL 33126
Phone (305) 266-2286

14645 NW 77th Ave
Ste 104
Miami Lakes, FL 33014
Phone (305) 400-8600

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

4802 Grand Blvd
New Prt Rchy, FL 34652
Phone (727) 848-0106

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

2151 45th St
Ste 107
West Palm Beach, FL 33407
Phone (561) 844-2233

1701 NE 26th St
Wilton Manors, FL 33305
Phone (386) 562-4899

Networks

  • Freedom Health HMO Network

Organizations & group practices 10

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 2

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": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1528208691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246738",
            "telephone_number": "954-538-6868",
            "fax_number": "954-538-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N UNIVERSITY DRIVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246868",
            "telephone_number": "954-538-6868",
            "fax_number": "954-538-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOSE",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-02",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.