Individual provider Active NPI

Emilio Luis Perez, M.D.

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1528220142
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME108338 Issued in FL
Practice address
3709 W Hamilton Ave Ste 2
Tampa, FL 33614-4015
Phone
(813) 252-7474
Fax
(813) 252-8463
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17201 PR
General Practice Physician 208D00000X ME108338 FL Primary

Addresses

Primary practice location

3709 W Hamilton Ave Ste 2
Tampa, FL 33614-4015

Mailing address

3709 W Hamilton Ave Ste 2
Tampa, FL 33614-4015
Phone (813) 252-7474

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
I20121121000275 FL Practitioner - Family Practice 3870651813 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica J Wilson Chan D O PA General Practice CurrentSince Nov 3, 2019 Accepting new patients
Live Better Health Center, LLC CurrentSince Sep 4, 2012 Accepting new patients
Physical Medicine Center CurrentSince Jun 23, 2013 Accepting new patients
Feel Better Medical LLC General Practice CurrentSince Jul 24, 2022 Accepting new patients
LBH Med Group LLC Past Accepting new patients

Locations

1811 N Belcher Rd
Ste H1
Clearwater, FL 33765
Phone (727) 827-2825

4423 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 827-2825

14522 University Point Pl
Tampa, FL 33613
Phone (813) 978-0020

3709 W Hamilton Ave
Ste 2
Tampa, FL 33614
Phone (813) 252-7474

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528220142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 W HAMILTON AVE STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144015",
            "telephone_number": "813-252-7474",
            "fax_number": "813-252-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 W HAMILTON AVE STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144015",
            "telephone_number": "813-252-7474",
            "fax_number": "813-252-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EMILIO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17201",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME108338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.