Erick Perez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113885 Issued in FL

Practice address

250 SE 23Rd Ave Ste B
Boynton Beach, FL 33435-7659

Phone

(561) 753-8366

Fax

(561) 721-0077

NPI assigned

Dec 6, 2020

Sex

Male

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: erick.perez.1@32578.direct.athenahealth.com
• Direct secure messaging: erick.perez.1@14802.direct.athenahealth.com

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.

• PCC Medical Holdings LLC

  • Internal Medicine Physician
  • Lake Worth, FL
  • NPI 1174167993
  Medicare reassignment
• Wellington Internal Medicine Group PA

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1154426591
  Medicare reassignment

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1659977684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 NW 7TH ST APT 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263809",
            "telephone_number": "786-253-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SE 23RD AVE STE B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357659",
            "telephone_number": "561-753-8366",
            "fax_number": "561-721-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8517 NW 7th St Apt 205",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331263809",
            "country_code": "US",
            "telephone_number": "786-253-8056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10131 Forest Hill Blvd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146109",
            "country_code": "US",
            "telephone_number": "561-753-8366",
            "fax_number": "561-721-0077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ERICK",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-06",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Alan Perelman, MD
• Carolina Del Carmen Perez Brito
• Yurema Perez Chavez
• Yarlein Perez Perez
• Daniel Perez, DPM
• Jose Perez
• Tiffany Perez, M.S., RMHCI
• Perfect Smile Dentistry II
• Alexandra Pericles
• Jennifer Wilson Perigord, OT11277

• Physician Assistant in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.