Individual provider Active NPI

Victor Tadeu Araujo de Lucena Pereira, LD/RD

  • Registered Dietitian
  • Miami, FL
National Provider Identifier
1740170331
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND10859 Issued in FL
Practice address
3540 SW 104TH CT
Miami, FL 33165-3718
Phone
(786) 632-5522
Fax
(786) 632-5557
NPI assigned
Jul 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND10859 FL Primary

Addresses

Primary practice location

3540 SW 104TH CT
Miami, FL 33165-3718

Mailing address

3540 SW 104TH CT
Miami, FL 33165-3718
Phone (786) 632-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821003326 FL Practitioner - Registered Dietitian Or Nutrition Professional 7810497120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2806 NE 30TH St
Fort Lauderdale, FL 33306-1922

3540 SW 104TH CT
Miami, FL 33165-3718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND10859FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Full Precision Health PLLC Dietitian, Registered CurrentSince Aug 14, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1740170331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SW 104TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653718",
            "telephone_number": "786-632-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SW 104TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653718",
            "telephone_number": "786-632-5522",
            "fax_number": "786-632-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAUJO DE LUCENA PEREIRA",
        "first_name": "VICTOR",
        "middle_name": "TADEU",
        "credential": "LD/RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND10859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.