Organization Active NPI

Eliseo Perez, MD, PA

  • Occupational Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1780989525
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
ME 25845 Issued in FL
Legal business name
ELISEO PEREZ, MD, PA
Practice address
1960 NE 47TH St
2ND Floor
Fort Lauderdale, FL 33308-7708
Phone
(954) 493-5005
Fax
(954) 938-0957
NPI assigned
Jan 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. Eliseo Perez, M.D.
Title
President
Phone
(954) 493-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X ME 25845 FL Primary

Addresses

Primary practice location

1960 NE 47TH St
2ND Floor
Fort Lauderdale, FL 33308-7708

Mailing address

1960 NE 47TH St
2ND Floor
Fort Lauderdale, FL 33308-7708
Phone (954) 493-5005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1780989525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 NE 47TH ST",
            "address_2": "2ND FLOOR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087708",
            "telephone_number": "954-493-5005",
            "fax_number": "954-938-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 NE 47TH ST",
            "address_2": "2ND FLOOR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087708",
            "telephone_number": "954-493-5005",
            "fax_number": "954-938-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISEO PEREZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ELISEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-493-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "ME 25845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.