Individual provider Active NPI

Sadis Lien Perez de la Paz

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1689445082
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12230587 Issued in FL
Practice address
3415 W 100TH Ter
Hialeah, FL 33018-2103
Phone
(786) 260-4695
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X F12230587 FL Primary

Addresses

Primary practice location

3415 W 100TH Ter
Hialeah, FL 33018-2103

Mailing address

3415 W 100TH Ter
Hialeah, FL 33018-2103

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308002972 FL Practitioner - Nurse Practitioner 0840636163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medical Services - Cardiology Division LLCGroup PAC ID 0244696581, 10 clinicians
Aldo H Martinez Fleites MD PAGroup PAC ID 5496870859, 5 clinicians

Practice addresses (Care Compare)

8260 W Flagler St
Suite 1a
Miami, FL 33144-2069
Phone (786) 715-9183

8532 NW 168TH Ter
Suite 304
Miami Lakes, FL 33016-6162
Phone (305) 363-2889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12230587FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aldo H Martinez Fleites MD PA Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients
Nova Medical Services - Cardiology Division LLC Multi-Specialty CurrentSince Mar 2, 2024 Accepting new patients

Locations

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1689445082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 W 100TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 W 100TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182103",
            "telephone_number": "786-260-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DE LA PAZ",
        "first_name": "SADIS",
        "middle_name": "LIEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F12230587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.