Active NPI
Dade Internal Medicine and Associates LLC
- Internal Medicine Physician
- North Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DADE INTERNAL MEDICINE AND ASSOCIATES LLC
- Practice address
- 1801 NE 123Rd St Ste 417
North Miami, FL 33181-2885 - Phone
- (786) 534-4907
- Fax
- (980) 495-8939
- NPI assigned
- Jun 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luis A Perez, DO
- Title
- Sole Proprietor
- Phone
- (305) 962-2811
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X |
Addresses
Primary practice location
1801 NE 123Rd St Ste 417
North Miami, FL 33181-2885
Mailing address
811 NE 122ND St
North Miami, FL 33161-5725
Phone (305) 962-2811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211122000771 | FL | Part B Supplier - Clinic/Group Practice | 5597154195 |
Receives reassigned benefits from 2 practitioners Practice locations: North Miami, FL |
| O20221213002664 | FL | Part B Supplier - Clinic/Group Practice | 5395114334 |
Receives reassigned benefits from 2 practitioners Practice locations: North Miami, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2277815 | Dade Internal Medicine and Associates, LLC | Certificate of waiver | Mar 5, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- North Miami, FL
- NPI 1790164010
FL, Internal Medicine
-
- Internal Medicine Physician
- Miami, FL
- NPI 1114457595
FL, Internal Medicine
-
- Medical Physician Assistant
- North Miami, FL
- NPI 1497094247
-
- Dermatology Physician
- Miami Shores, FL
- NPI 1588628069
-
- Physician Assistant
- Golden, CO
- NPI 1679948442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665187200000",
"number": "1760052849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 NE 122ND ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615725",
"telephone_number": "305-962-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 NE 123RD ST STE 417",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812885",
"telephone_number": "786-534-4907",
"fax_number": "980-495-8939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DADE INTERNAL MEDICINE AND ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-30",
"last_updated": "2022-10-08",
"certification_date": "2022-10-08",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "305-962-2811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.