Organization Active NPI

Peregon, LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1760736524
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PEREGON, LLC
Practice address
8064 SW 133Rd CT
Miami, FL 33183-4130
Phone
(786) 512-2474
Fax
(305) 400-2854
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Idania Valladares
Title
Owner
Phone
(786) 512-2474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8064 SW 133Rd CT
Miami, FL 33183-4130

Mailing address

8064 SW 133Rd CT
Miami, FL 33183-4130
Phone (786) 512-2474

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1760736524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8064 SW 133RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834130",
            "telephone_number": "786-512-2474",
            "fax_number": "305-400-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8064 SW 133RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834130",
            "telephone_number": "786-512-2474",
            "fax_number": "305-400-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREGON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "VALLADARES",
        "authorized_official_first_name": "IDANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-512-2474"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "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 Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.