Individual provider Active NPI

Diego Jesus Perez, M.D.

  • Adult Medicine Physician
  • Miami, FL
National Provider Identifier
1598908824
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME109715 Issued in FL
Practice address
9700 SW 66TH St
Miami, FL 33173-1443
Phone
(305) 542-2641
NPI assigned
Apr 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27218-R PR
Adult Medicine Physician 207QA0505X ME109715 FL Primary

Addresses

Primary practice location

9700 SW 66TH St
Miami, FL 33173-1443

Mailing address

9700 SW 66TH St
Miami, FL 33173-1443
Phone (305) 542-2641

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
I20231228002563 FL Practitioner - Family Practice 4284931197 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27218-RPRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interamerican Medical Center Group LLC Family Medicine CurrentSince Nov 20, 2023 Accepting new patients
Interamerican Medical Center Group LLC Family Medicine Current Accepting new patients
Interamerican Medical Center Group LLC Family Medicine CurrentSince Nov 20, 2023 Accepting new patients

Locations

1225 NW 40th Ave
Unit 2
Lauderhill, FL 33313
Phone (954) 615-0900

1000 NW 57th Ct
Ste 400
Miami, FL 33126

8010 W Colonial Dr
Unit 146162
Orlando, FL 32818
Phone (407) 343-8080

Organizations & group practices 3

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": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1598908824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 SW 66TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731443",
            "telephone_number": "305-542-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 SW 66TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731443",
            "telephone_number": "305-542-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "DIEGO",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-16",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "27218-R",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME109715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.