Organization Active NPI

Dade Internal Medicine and Associates LLC

  • Internal Medicine Physician
  • North Miami, FL
National Provider Identifier
1760052849
Registry record updated Oct 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Oct 8, 2022

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

Authorized official

Name
Dr. Luis A Perez, DONPI 1790164010
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 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
10D2277815Dade Internal Medicine and Associates, LLC1801 NE 123Rd St, Ste 417, North Miami, FL 33181Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.