Individual provider Active NPI

Alfredo Perez Valdes

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1558065433
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027828 Issued in FL
Practice address
4620 N 22ND St
Tampa, FL 33610-6205
Phone
(813) 397-5300
Fax
(813) 738-9034
NPI assigned
Mar 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11027828 FL Primary

Addresses

Primary practice location

4620 N 22ND St
Tampa, FL 33610-6205

Mailing address

PO Box 82969
Tampa, FL 33682-2969
Phone (813) 397-5300

Other identifiers 1

IdentifierTypeStateIssuer
APRN11027828OtherFLMEDICAL LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230818002262 FL Practitioner - Nurse Practitioner 0840652061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Family Health Centers IncGroup PAC ID 1254243769, 66 clinicians

Practice addresses (Care Compare)

4620 N 22ND St
Tampa, FL 33610-6205
Phone (813) 397-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11027828FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers Inc Current Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Jul 24, 2023 Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Jul 24, 2023 Accepting new patients
Tampa Family Health Centers, Inc Past Accepting new patients

Locations

1212 E Bearss Ave
Lutz, FL 33549
Phone (813) 398-5300

19203 N Dale Mabry Hwy
Lutz, FL 33548

8213 W Waters Ave
Tampa, FL 33615
Phone (813) 490-5420

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

302 W Fletcher Ave
Tampa, FL 33612

5611 Sheldon Rd
Tampa, FL 33615
Phone (813) 397-5320

4620 N 22nd St
Tampa, FL 33610
Phone (813) 272-6240

12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270

8108 N Nebraska Ave
Tampa, FL 33604
Phone (813) 712-1930

6216 E Sligh Ave
Tampa, FL 33617
Phone (813) 549-8060

4422 E Columbus Dr
Tampa, FL 33605
Phone (813) 384-4000

2808 W Mlk Blvd
Tampa, FL 33607
Phone (813) 872-9200

12410 N Nebraska Ave
Tampa, FL 33612

2727 W Mlk Blvd
Ste 630
Tampa, FL 33607
Phone (813) 876-6000

7608 Causeway Blvd
Tampa, FL 33619
Phone (813) 405-3710

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939

Organizations & group practices 4

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1558065433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "813-397-5300",
            "fax_number": "813-405-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336106205",
            "telephone_number": "813-397-5300",
            "fax_number": "813-738-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ VALDES",
        "first_name": "ALFREDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "APRN11027828",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.