Active NPI
Sergio Amador Perez, NP
- Nurse Practitioner
- Miami, FL
National Provider Identifier
1649922857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11014963
- Practice address
- 11200 SW 8TH St
Miami, FL 33199-2516 - Phone
- (585) 285-2588
- NPI assigned
- Jan 19, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11014963 | FL | Primary |
Addresses
Primary practice location
11200 SW 8TH St
Miami, FL 33199-2516
Mailing address
1240 S Pine Island Rd Apt 617
Plantation, FL 33324-4550
Phone (585) 285-2588
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Miami |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11014963 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1649922857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 S PINE ISLAND RD APT 617",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333244550",
"telephone_number": "585-285-2588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 SW 8TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331992516",
"telephone_number": "585-285-2588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADOR PEREZ",
"first_name": "SERGIO",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-19",
"last_updated": "2022-01-19",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11014963",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Miami",
"affiliation": "N",
"address_1": "11200 SW 8th St",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331992516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.