Amlenis De la Caridad Perea Trista

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11021206 Issued in FL

Practice address

6590 SW 33Rd St
Miami, FL 33155-3954

Phone

(786) 715-5925

NPI assigned

May 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1629699491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6590 SW 33RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553954",
            "telephone_number": "786-715-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6590 SW 33RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553954",
            "telephone_number": "786-715-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREA TRISTA",
        "first_name": "AMLENIS",
        "middle_name": "DE LA CARIDAD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-02",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-21-13304",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Perdomo, LMHC
• Josefina Perduca
• Mayelin De Las Mercedes Perdueles Gotay
• Yaisel Perea Perez, APRN
• Dayme R Perea Poo
• Armando Perea
• Ashley Marie Perea
• Hilda Maria Perea
• Meliza Mercedes Perea, NP
• Pamela Perea

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.