Active NPI
Josephine Perez, MD
- Psychiatry Physician
- Coral Gables, FL
National Provider Identifier
1730161324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0029854
- Practice address
- 420 S Dixie Hwy
Suite 4a
Coral Gables, FL 33146-2228 - Phone
- (305) 666-7766
- Fax
- (305) 666-7766
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0029854 | FL | Primary |
Addresses
Primary practice location
420 S Dixie Hwy
Suite 4a
Coral Gables, FL 33146-2228
Mailing address
420 S Dixie Hwy
Suite 4a
Coral Gables, FL 33146-2228
Phone (305) 666-7766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02346 | Other | JACKSON MEM HOSPITAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0029854 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730161324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 S DIXIE HWY",
"address_2": "SUITE 4A",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462228",
"telephone_number": "305-666-7766",
"fax_number": "305-666-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S DIXIE HWY",
"address_2": "SUITE 4A",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462228",
"telephone_number": "305-666-7766",
"fax_number": "305-666-7766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JOSEPHINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0029854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JACKSON MEM HOSPITAL",
"identifier": "02346",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.