Individual provider Active NPI

Jorge Luis Perez, D.O.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1770520074
Registry record updated Jan 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6115 Issued in FL
Practice address
3600 W Flagler St
Miami, FL 33135-1030
Phone
(305) 444-4520
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS6115 FL Primary

Addresses

Primary practice location

3600 W Flagler St
Miami, FL 33135-1030

Mailing address

3600 W Flagler St
Miami, FL 33135-1030
Phone (305) 444-4520

Other identifiers 1

IdentifierTypeStateIssuer
OS6115OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070918000504 FL Practitioner - Family Practice 9537253877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manuel Perez-Espinosa MD PAGroup PAC ID 5799835393, 2 clinicians

Practice addresses (Care Compare)

3600 W Flagler St
Miami, FL 33135-1030
Phone (305) 444-4520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel Perez-Espinosa MD PA Current Accepting new patients
Manuel Perez-Espinosa MD PA Family Medicine CurrentSince Jul 4, 2010 Accepting new patients

Locations

4990 Palm Ave
Hialeah, FL 33012
Phone (305) 823-8732

3600 W Flagler St
Miami, FL 33135
Phone (305) 444-4520

Interoperability endpoints

  • Direct secure messaging: jorgeperezdo@direct.meditouchehr.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262476800000",
    "number": "1770520074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351030",
            "telephone_number": "305-444-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351030",
            "telephone_number": "305-444-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OS6115",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.