Active NPI
Alien R Perez Sr., APRN
- Family Nurse Practitioner
- Lighthouse Point, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11000227
- Practice address
- 3138 N Federal Hwy
Lighthouse Point, FL 33064-6738 - Phone
- (305) 266-2929
- NPI assigned
- Jan 24, 2019
- Last updated
- Apr 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 815928 | NV | |
| Family Nurse Practitioner | 363LF0000X | 11000227 | FL | Primary |
Addresses
Primary practice location
3138 N Federal Hwy
Lighthouse Point, FL 33064-6738
Mailing address
11561 NW 87TH PL
Hialeah Gardens, FL 33018-1959
Phone (786) 538-2750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3138 N Federal Hwy
Lighthouse Point, FL 33064-6738
Phone (305) 266-2929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11000227 | FL | MD | Family Nurse Practitioner |
| 815928 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Care Centers LLC | Current | Accepting new patients | |
| Medcare Centers, LLC | Current | Accepting new patients | |
| Centrum Medical Holdings, LLC | Current | Accepting new patients | |
| Medcare Centers, LLC | Current | Accepting new patients | |
| Centrum Medical Centers Kendall, LLC | Current | Accepting new patients |
Locations
1801 N University Dr
Ste 101
Coral Springs, FL 33071
Phone (954) 344-8100
8844A W State Road 84
Ste G10
Davie, FL 33324
9250 NW 36th St
Ste 420
Doral, FL 33178
3690 Davie Blvd
Ft Lauderdale, FL 33312
Phone (954) 833-0010
1460 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 455-2385
2229 Sheridan St
Hollywood, FL 33020
Phone (954) 251-2381
3138 N Federal Hwy
Lighthouse Point, FL 33064
612 S State Road 7
Margate, FL 33068
Phone (954) 535-1919
7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270
12709 Miramar Pkwy
Miramar, FL 33027
Phone (786) 970-8010
5730 SW 74th St
Ste 200
South Miami, FL 33143
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1538714282
-
dba Caring Health Center
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1992090310
-
- Internal Medicine Physician
- Miami, FL
- NPI 1912625153
-
- Clinic/Center
- Miami, FL
- NPI 1114485638
-
dba Centrum Medical Holdings, LLC
- Internal Medicine Physician
- Hialeah, FL
- NPI 1114569696
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1578105052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1558825463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11561 NW 87TH PL",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330181959",
"telephone_number": "786-538-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3138 N FEDERAL HWY",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330646738",
"telephone_number": "305-266-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ALIEN",
"middle_name": "R",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-24",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "815928",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11000227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lighthouse Point, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.