Javier Perez MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME55359 Issued in FL

Legal business name

JAVIER PEREZ MD PA

Practice address

777 E 25TH St
Suite 102
Hialeah, FL 33013-3825

Phone

(305) 836-6646

Fax

(305) 836-4722

NPI assigned

Dec 19, 2008

Last updated

Feb 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Javier Perez, MDNPI 1821067299

Title

President

Phone

(305) 836-6646

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Javier Perez, MD

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1821067299
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1609012749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ALTON ROAD",
            "address_2": "PMB # 84",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392421",
            "telephone_number": "305-836-6646",
            "fax_number": "305-836-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133825",
            "telephone_number": "305-836-6646",
            "fax_number": "305-836-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER PEREZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-836-6646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME55359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052964800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Jauriga Avalos
• Jandro Javech Hernandez
• Sagar Javia, MD
• Javier Errazquin Service Inc
• Javier Garcia, DNP Medical Office, Inc
• Javier Puentes PA (Venaverte Medical Center)
• Javier Ricardo MD PA
• Jay Diagnostic & Rehab. Center
• Jazmin Retirement Home LLC (Jazmin Retirement Manor LLC)
• Jbasulto Health Care LLC

• Internal Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.