Juan Carlos Perez Sanchez

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11014454 Issued in FL

Practice address

925 NE 30TH Ter Ste 202
Homestead, FL 33033-7614

Phone

(305) 246-1030

Fax

(305) 246-2387

NPI assigned

Sep 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Village Medical Center, LLC.

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1033716279
  Medicare reassignment
• La Vie Medical Center LLC

  • Primary Care Clinic/Center
  • Hialeah, FL
  • NPI 1528958352
  NPD

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1730857723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3868 NE 169TH ST APT 205",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331603209",
            "telephone_number": "305-763-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER STE 202",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337614",
            "telephone_number": "305-246-1030",
            "fax_number": "305-246-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ SANCHEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11014454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayte Perez Romero
• Kelly Perez Rosabal
• Juan Carlos Perez Roy
• Geraldine Beatriz Perez Salas
• Yuramis Perez Salvador
• Carlos Miguel Perez Tamayo, RBT-25-448711
• Jareh Perez Tejeda
• Dalma Perez Triana
• Liliet Perez Valdespino
• Claudia Perez Vazquez

• Nurse Practitioner in Homestead, FL
• Providers in Homestead, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; 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.
• 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.