Active NPI
Viviana Perez MD PA
- General Practice Physician
- Hialeah, FL
National Provider Identifier
1689851768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME90686
- Legal business name
- VIVIANA PEREZ MD PA
- Practice address
- 4410 W 16TH Ave
Suite 26
Hialeah, FL 33012-7100 - Phone
- (305) 822-8883
- Fax
- (305) 825-8273
- NPI assigned
- Jan 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Viviana Perez, M.D
- Title
- Director
- Phone
- (305) 822-8883
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME90686 | FL | Primary |
Addresses
Primary practice location
4410 W 16TH Ave
Suite 26
Hialeah, FL 33012-7100
Mailing address
4410 W 16TH Ave
Suite 26
Hialeah, FL 33012-7100
Phone (305) 822-8883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1091547 | Viviana Perez, MD, PA | Certificate of waiver | Feb 19, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Hialeah, FL
- NPI 1881645802
-
- Nurse Practitioner
- Homestead, FL
- NPI 1780382267
-
- General Practice Physician
- Miami, FL
- NPI 1891716908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201651200000",
"number": "1689851768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 W 16TH AVE",
"address_2": "SUITE 26",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127100",
"telephone_number": "305-822-8883",
"fax_number": "305-825-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 W 16TH AVE",
"address_2": "SUITE 26",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127100",
"telephone_number": "305-822-8883",
"fax_number": "305-825-8273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIVIANA PEREZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "VIVIANA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "305-822-8883",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "ME90686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.