Organization Active NPI

Jose a. Perez-Arce, MD

  • Primary Care Clinic/Center
  • Largo, FL
National Provider Identifier
1730427816
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME78768 Issued in FL
Legal business name
JOSE A. PEREZ-ARCE, MD
Practice address
12685 Starkey Rd Ste 1
Largo, FL 33773-1421
Phone
(727) 535-9901
Fax
(727) 535-8760
NPI assigned
Jan 23, 2013
Last updated
Jan 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Jose Armando Perez-Arce, MDNPI 1760460513
Title
MD
Phone
(727) 535-9901

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME78768 FL Primary

Addresses

Primary practice location

12685 Starkey Rd Ste 1
Largo, FL 33773-1421

Mailing address

12685 Starkey Rd Ste 1
Largo, FL 33773-1421
Phone (727) 535-9901

Other identifiers 1

IdentifierTypeStateIssuer
257440300MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0992329Jose a Perez-Arce MD12685 Starkey Rd Ste 1, Largo, FL 33773Certificate of waiverOct 14, 2027

National Provider Directory

National Provider Directory

Locations

12685 Starkey Rd
Ste 1
Largo, FL 33773
Phone (727) 535-9901

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1730427816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12685 STARKEY RD STE 1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731421",
            "telephone_number": "727-535-9901",
            "fax_number": "727-535-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12685 STARKEY RD STE 1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731421",
            "telephone_number": "727-535-9901",
            "fax_number": "727-535-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A. PEREZ-ARCE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "PEREZ-ARCE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ARMANDO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "727-535-9901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME78768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257440300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.