Active NPI
Jesus Molina Perez
- Driver
- Hialeah Gardens, FL
National Provider Identifier
1710469721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- M451421820930
- Practice address
- 8806 NW 109TH Ter
Hialeah Gardens, FL 33018-4550 - Phone
- (786) 302-7275
- NPI assigned
- Sep 5, 2018
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | M451421820930 | FL | Primary |
Addresses
Primary practice location
8806 NW 109TH Ter
Hialeah Gardens, FL 33018-4550
Mailing address
8806 NW 109TH Ter
Hialeah Gardens, FL 33018-4550
Phone (786) 302-7275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M451421820930 | FL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1710469721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8806 NW 109TH TER",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330184550",
"telephone_number": "786-302-7275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8806 NW 109TH TER",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330184550",
"telephone_number": "786-302-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JESUS",
"middle_name": "MOLINA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": "M451421820930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.