Active NPI
Carolina Raquel Perez, APRN
- Nurse Practitioner
- Pembroke Pines, FL
National Provider Identifier
1538904990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11030902
- Practice address
- 936 SW 180TH Ter
Pembroke Pines, FL 33029-4423 - Phone
- (954) 326-2968
- NPI assigned
- Jun 27, 2024
- Last updated
- Jun 27, 2024
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11030902 | FL | Primary |
Addresses
Primary practice location
936 SW 180TH Ter
Pembroke Pines, FL 33029-4423
Mailing address
936 SW 180TH Ter
Pembroke Pines, FL 33029-4423
Phone (954) 326-2968
Other names 1
- Carolina Raquel Olivera
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 |
|---|---|---|---|
| 11030902 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilbert Medical Group Inc | Current | Accepting new patients | |
| Gilbert Medical Group Inc | Current | Accepting new patients |
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": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1538904990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 SW 180TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330294423",
"telephone_number": "954-326-2968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 SW 180TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330294423",
"telephone_number": "954-326-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "CAROLINA",
"middle_name": "RAQUEL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-27",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11030902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINA",
"last_name": "OLIVERA",
"middle_name": "RAQUEL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.