Active NPI
Yenan Yasmin Perez, DOM, L.AC.
- Acupuncturist
- Orlando, FL
National Provider Identifier
1639712540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 4100
- Practice address
- 1753 Fairview Shores Dr
Orlando, FL 32804-1172 - Phone
- (939) 881-6008
- NPI assigned
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 4100 | FL | Primary |
Addresses
Primary practice location
1753 Fairview Shores Dr
Orlando, FL 32804-1172
Mailing address
1753 Fairview Shores Dr
Orlando, FL 32804-1172
Phone (939) 881-6007
Other names 1
- Yenan Yasmin Perez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4100 | FL | MD | Clinical Social Worker |
Interoperability endpoints
- yenan.perez.p1@direct.caremax.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1639712540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1753 FAIRVIEW SHORES DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328041172",
"telephone_number": "939-881-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1753 FAIRVIEW SHORES DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328041172",
"telephone_number": "939-881-6008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "YENAN",
"middle_name": "YASMIN",
"credential": "DOM, L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "4100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YENAN",
"last_name": "PEREZ",
"middle_name": "YASMIN",
"credential": "DOM, L.AC.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.