Active NPI
Victor Tadeu Araujo de Lucena Pereira, LD/RD
- Registered Dietitian
- Miami, FL
National Provider Identifier
1740170331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND10859
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND10859 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Precision Health PLLC | Dietitian, Registered | Current | 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.