Individual provider Active NPI

Jorge L Perez, M.D.

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1609925262
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME34153 Issued in FL
Practice address
1385 Coral Way
3Rd Floor
Miami, FL 33145-2941
Phone
(305) 854-3307
Fax
(305) 854-3130
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 34153 FL
Ophthalmology Physician 207W00000X ME34153 FL Primary

Addresses

Primary practice location

1385 Coral Way
3Rd Floor
Miami, FL 33145-2941

Mailing address

1385 Coral Way
3Rd Floor
Miami, FL 33145-2941
Phone (305) 854-3307

Other identifiers 1

IdentifierTypeStateIssuer
066152000MedicaidFL

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
I20120713000174 FL Practitioner - Ophthalmology 4385809532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rafael M Hernandez MD PAGroup PAC ID 4284790734, 4 clinicians

Practice addresses (Care Compare)

1385 Coral Way
FL 3
Miami, FL 33145-2941
Phone (305) 854-3307

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 34153FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rafael M Hernandez MD PA Specialist CurrentSince Aug 15, 2012 Accepting new patients
South Florida Retina Institute, PLLC PastSince Aug 15, 2012 Accepting new patients

Locations

1385 Coral Way
Fl 3
Miami, FL 33145
Phone (305) 854-3301

1385 Coral Way
Ste 304
Miami, FL 33145
Phone (305) 854-3307

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1609925262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 CORAL WAY",
            "address_2": "3RD FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452941",
            "telephone_number": "305-854-3307",
            "fax_number": "305-854-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 CORAL WAY",
            "address_2": "3RD FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452941",
            "telephone_number": "305-854-3307",
            "fax_number": "305-854-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JORGE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 34153",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME34153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066152000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.