Carlos A Perez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

82456 Issued in FL

Practice address

11805 SW 46TH St
Miami, FL 33175-4739

Phone

(305) 610-2526

Fax

(305) 221-5224

NPI assigned

Aug 8, 2006

Last updated

Dec 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harmony Health Center Nursing home, Miami, FL, CCN 686124
• North Dade Nursing and Rehabilitation Center Nursing home, North Miami, FL, CCN 106133
• Sierra Lakes Nursing & Rehabilitation Center Nursing home, Miami, FL, CCN 106131
• Fountain Manor Health & Rehabilitation Center Nursing home, North Miami, FL, CCN 105172

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Harmony Health Opco LLC

  • Skilled Nursing Facility
  • Miami, FL
  • NPI 1922574805

  Adp of the SNF

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Buena Vista Medical Services Inc

  • Family Medicine Physician
  • Miami, FL
  • NPI 1184634818
  Medicare reassignment NPD Authorized official
• Medical and Behavioral Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1942923933
  Medicare reassignment NPD
• Jose L. Joy M.D. PA.

  • Specialist
  • Miami, FL
  • NPI 1891985248
  NPD (past)
• Las Villas Medical Center, Inc.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1316011752
  NPD (past)
• Maria I Lopez MD PA

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1174878078
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• FMHR LLC

  dba Fountain Manor Health & Rehabilitation Center

  • Skilled Nursing Facility
  • North Miami, FL
  • NPI 1720495120

  Nursing home

  Care Compare affiliation
• Golden Glades Opco LLC

  • Skilled Nursing Facility
  • Miami, FL
  • NPI 1598238040

  Nursing home

  Care Compare affiliation
• Harmony Health Opco LLC

  • Skilled Nursing Facility
  • Miami, FL
  • NPI 1922574805

  Nursing home

  Care Compare affiliation
• North Dade SNF Operating Company LLC

  • Skilled Nursing Facility
  • North Miami, FL
  • NPI 1134693146

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1649289471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 SW 46TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754739",
            "telephone_number": "305-610-2526",
            "fax_number": "305-221-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 SW 46TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754739",
            "telephone_number": "305-610-2526",
            "fax_number": "305-221-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CARLOS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "82456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265613200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Perez
• Brynt Perez
• Caridad Perez
• Caridad Dania Perez
• Carlos Perez
• Carlos Alberto Perez
• Carmen Amelia Perez, APRN
• Casandra Perez, DMD
• Cassandra Elysse Perez
• Catalina Perez

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.