Individual provider Active NPI

Lazaro F De Paz Perez, REGISTERED NURSE

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1700765294
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11043373 Issued in FL
Practice address
25423 SW 127TH PL
Homestead, FL 33032-5717
Phone
(305) 496-8986
NPI assigned
Aug 28, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11043373 FL Primary

Addresses

Primary practice location

25423 SW 127TH PL
Homestead, FL 33032-5717

Mailing address

25423 SW 127TH PL
Homestead, FL 33032-5717
Phone (305) 496-8986

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
I20251202001639 FL Practitioner - Nurse Practitioner 2264925981 Practice locations: Homestead, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Homestead, FL 33032
Phone (305) 496-8986

129 Southwest 57TH Ave
Miami, FL 33144-3411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11043373FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1700765294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25423 SW 127TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325717",
            "telephone_number": "305-496-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25423 SW 127TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325717",
            "telephone_number": "305-496-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE PAZ PEREZ",
        "first_name": "LAZARO",
        "middle_name": "F",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11043373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.