Individual provider Active NPI

Stephen Hugo Perez, DO

  • Family Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1689101933
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14423 Issued in FL
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

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170728002740 FL Practitioner - Family Practice 5597036202 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascencion Medical Center, Inc. Family Medicine CurrentSince Apr 1, 2025 Accepting new patients

Locations

1060 SW 67th Ave
Miami, FL 33144
Phone (305) 807-0791

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDCFDD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.