Individual provider Active NPI

Lisandra Perez, MD

  • Pediatrics Physician
  • Lake Worth, FL
National Provider Identifier
1669855102
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME135394 Issued in FL
Practice address
2328 10TH Ave N Ste 501H
Lake Worth, FL 33461-6615
Phone
(561) 760-1066
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME135394 FL Primary

Addresses

Primary practice location

2328 10TH Ave N Ste 501H
Lake Worth, FL 33461-6615

Mailing address

15960 Pine Strand CT
Wellington, FL 33414-6365

Other practice location 1

4075 S State Road 7 Ste F2
Lake Worth, FL 33449-8152
Phone (561) 967-5761

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150811003998 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1951616622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Village Lactation Medicine, LLC Pediatrics CurrentSince Sep 1, 2024 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Pediatrics Past Accepting new patients

Locations

2328 10th Ave N
Ste 501H
Lake Worth, FL 33461
Phone (305) 397-0912

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1669855102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15960 PINE STRAND CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 10TH AVE N STE 501H",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616615",
            "telephone_number": "561-760-1066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4075 S State Road 7 Ste F2",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334498152",
            "country_code": "US",
            "telephone_number": "561-967-5761",
            "fax_number": "561-967-5762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LISANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME135394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.