Julio Perez, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME0026263 Issued in FL

Practice address

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585

Phone

(321) 799-7111

NPI assigned

Jan 17, 2006

Last updated

Jul 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Brevard Physician Associates, PLLC

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1598008955

  Emergency Medicine

  Medicare reassignment NPD
• Bert Fish Medical Center Inc

  • General Acute Care Hospital
  • New Smyrna Beach, FL
  • NPI 1245275734
  NPD (past)
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  NPD (past)
• Southeast Volusia Medical Services Inc

  dba Bert Fish Medical Center

  • Surgery Physician
  • New Smyrna Beach, FL
  • NPI 1104868876

  Emergency Medicine

  NPD (past)
• Space Coast Emergency Physicians PLC

  • Emergency Medicine Physician
  • Cocoa Beach, FL
  • NPI 1508851569
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1750361887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918994",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328918994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W COCOA BEACH CSWY",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313585",
            "telephone_number": "321-799-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JULIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0026263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53489",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peace Club Inc. (Peace Club)
• Pediatrics in Brevard, P.a.
• Pediatrics in Brevard, P.a.
• Brittany Lauren Peeler, DNP
• Kristen M Pena, M.A.
• Jeffrey M Pfeiffer, R.PH.
• Anh Phan
• Lan Tuyet Phan, D.O.
• Janet Gayle Phillips, LICENSED MENTAL HEAL
• Jodi Lynn Piaskowy, LCSW

• Emergency Medicine Physician in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.