Organization Active NPI

Rosa I Perez Family Practice, PLLC

Doing business as Rosa I Perez, MSN, APRN, FNP-BC Family Practice

  • Nurse Practitioner
  • Eagle Pass, TX
National Provider Identifier
1750752556
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP124282 Issued in TX
Legal business name
ROSA I PEREZ FAMILY PRACTICE, PLLC
Doing business as
Rosa I Perez, MSN, APRN, FNP-BC Family Practice
Practice address
2557 N Veterans Blvd Ste a
Eagle Pass, TX 78852-3390
Phone
(830) 872-0074
Fax
(855) 689-6771
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Mrs. Rosa Irene Perez, MSN, APRN, FNP-BCNPI 1255763918
Title
Owner
Phone
(830) 776-6777

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
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X AP124282 TX Primary

Addresses

Primary practice location

2557 N Veterans Blvd Ste a
Eagle Pass, TX 78852-3390

Mailing address

2557 N Veterans Blvd Ste a
Eagle Pass, TX 78852-3390
Phone (830) 872-0074

Other names 1

  • Rosa I Perez, MSN, APRN, FNP-BC Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151207001992 TX Part B Supplier - Clinic/Group Practice 0547560948 Receives reassigned benefits from 1 practitioner
Practice locations: Eagle Pass, TX

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
45D2146819Rosa I Perez Family Practice, PLLC2557 N Veterans Blvd, Ste a, Eagle Pass, TX 78852Certificate of waiverApr 5, 2028

National Provider Directory

National Provider Directory

Locations

2557 N Veterans Blvd
Ste A
Eagle Pass, TX 78852
Phone (830) 872-0074

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18627/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1750752556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 N VETERANS BLVD STE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523390",
            "telephone_number": "830-872-0074",
            "fax_number": "855-689-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 N VETERANS BLVD STE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523390",
            "telephone_number": "830-872-0074",
            "fax_number": "855-689-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA I PEREZ FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-776-6777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP124282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosa I Perez, MSN, APRN, FNP-BC Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosa I Perez, MSN, APRN, FNP-BC Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.