Miciara Hernandez Perez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME129249 Issued in FL

Practice address

13840 US Highway 1
Sebastian, FL 32958-3296

Phone

(772) 581-0334

Fax

(772) 581-8976

NPI assigned

May 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indian River Primary CareGroup PAC ID 0446152789, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Port Saint Lucie, FL, CCN 687163
• Visiting Nurse Association of Indian River County Inc Home health agency, Vero Beach, FL, CCN 107134
• Activa Home Health Home health agency, Stuart, FL, CCN 108113
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
• Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HECFAD

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.

• Indian River Primary Care

  • Specialist
  • Vero Beach, FL
  • NPI 1023192507

  FL

  Medicare reassignment Care Compare group NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495

  FL

  Medicare reassignment NPD
• Steward Medical Group, Inc.

  • Urology Physician
  • Cocoa, FL
  • NPI 1104367630

  Family Medicine

  NPD
• Sebastian Hma Physician Management LLC

  • Family Medicine Physician
  • Sebastian, FL
  • NPI 1972883635

  Family Medicine

  NPD (past)
• Stewart and Stewart a Medical Corporation

  • Family Medicine Physician
  • Alhambra, CA
  • NPI 1306058565

  Family Medicine

  NPD (past)

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

• Activa Health Services

  • Home Health Agency
  • Vero Beach, FL
  • NPI 1649548777
  Care Compare affiliation
• Activa Health Services, Inc.

  • Home Health Agency
  • Stuart, FL
  • NPI 1770559718
  Care Compare affiliation
• Concierge Home Care of Port St Lucie LLC

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1184222549
  Care Compare affiliation
• Indian River Memorial Hospital Inc

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988

  Hospital

  Care Compare affiliation
• Ohsrh, LLC

  • General Acute Care Hospital
  • Sebastian, FL
  • NPI 1578381307

  Hospital

  Care Compare affiliation
• Visiting Nurse Association of Indian River County, Inc.

  • Home Health Agency
  • Vero Beach, FL
  • NPI 1306843768
  Care Compare affiliation

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1679918205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13840 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583296",
            "telephone_number": "772-581-0334",
            "fax_number": "772-581-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13840 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583296",
            "telephone_number": "772-581-0334",
            "fax_number": "772-581-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ PEREZ",
        "first_name": "MICIARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME129249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Thomas Hayden, RMHCI
• Carolyn Rose Heath
• Stephen Darrell Heglund, ARNP
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• Connie Henry
• Herndon Diagnostic Laboratory Inc
• Danielle Hines
• Tuan Quoc Hoang, M.D.
• Lucinda Karen Holohan
• Hometown Optical Inc.

• All providers in Sebastian, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.
• 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.