Active NPI
Stephen Hugo Perez, DO
- Family Medicine Physician
- Miami Lakes, FL
National Provider Identifier
1689101933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS14423
- Practice address
- 5190 NW 167TH St Ste 109
Miami Lakes, FL 33014-6329 - Phone
- (954) 983-9191
- NPI assigned
- May 17, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS14423 | FL | Primary |
Addresses
Primary practice location
5190 NW 167TH St Ste 109
Miami Lakes, FL 33014-6329
Mailing address
10817 Oak Bend Way
Wellington, FL 33414-6175
Phone (786) 271-3768
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascencion Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
Locations
1060 SW 67th Ave
Miami, FL 33144
Phone (305) 807-0791
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDCFDD
- stephen.perez.1@14883.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1134717036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1689101933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10817 OAK BEND WAY",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146175",
"telephone_number": "786-271-3768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 NW 167TH ST STE 109",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330146329",
"telephone_number": "954-983-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "STEPHEN",
"middle_name": "HUGO",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-17",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS14423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.