Individual provider Active NPI

Raquel Perez, FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1790223386
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9434464 Issued in FL
Practice address
10991 San Jose Blvd # 100
Jacksonville, FL 32223-6675
Phone
(904) 839-1263
Fax
(904) 656-7306
NPI assigned
Feb 3, 2017
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9434464 FL
Family Nurse Practitioner 363LF0000X APRN9434464 FL Primary

Addresses

Primary practice location

10991 San Jose Blvd # 100
Jacksonville, FL 32223-6675

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 1

IdentifierTypeStateIssuer
022863100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address raquel.perez.2@29601.direct.athenahealth.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170410001556 FL Practitioner - Nurse Practitioner 9931485711 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
St Vincent's Full Service Urgent Care, LLCGroup PAC ID 4183879364, 29 clinicians

Practice addresses (Care Compare)

10058 Baymeadows Rd
Suite B
Jacksonville, FL 32256-7177
Phone (904) 450-8020

10503 San Jose Blvd
Jacksonville, FL 32257-6295
Phone (904) 450-6700

10991 San Jose Blvd
Suite 100
Jacksonville, FL 32223-6675
Phone (904) 839-1263

7963 Normandy Blvd
Jacksonville, FL 32221-6640
Phone (904) 786-0440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9434464FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care FL JV PLLC Current Accepting new patients
Millennium Physician Group LLC CurrentSince Aug 6, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Jax's Family Care and Research Center, P.a. CurrentSince Jun 2, 2021 Accepting new patients
Centerwell Senior Primary Care FL JV PLLC CurrentSince Oct 28, 2024 Accepting new patients
St Vincent's Full Service Urgent Care, LLC CurrentSince Jan 5, 2026 Accepting new patients
Millennium Physician Group LLC CurrentSince Aug 6, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Centerwell Senior Primary Care FL JV PLLC CurrentSince Oct 28, 2024 Accepting new patients
Centerwell Senior Primary Care FL JV PLLC Past Accepting new patients

Locations

10991 San Jose Blvd
#100
Jacksonville, FL 32223
Phone (904) 839-1263

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

4291 Roosevelt Blvd
Jacksonville, FL 32210
Phone (904) 598-1888

5233 Ricker Rd
Ste 101
Jacksonville, FL 32210
Phone (904) 425-6963

7011 A C Skinner Pkwy
Ste 160
Jacksonville, FL 32256
Phone (904) 642-0877

7685 103rd St
Jacksonville, FL 32210
Phone (904) 425-6963

7963 Normandy Blvd
Jacksonville, FL 32221
Phone (904) 379-1203

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

28516 Wesley Chapel Blvd
Wesley Chapel, FL 33543
Phone (813) 345-3829

Interoperability endpoints

  • Direct secure messaging: raquel.perez.1@29601.direct.athenahealth.com
  • Direct secure messaging: raquel.perez.2@29601.direct.athenahealth.com

Organizations & group practices 10

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1790223386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10991 SAN JOSE BLVD # 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236675",
            "telephone_number": "904-839-1263",
            "fax_number": "904-656-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RAQUEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9434464",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9434464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022863100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raquel.perez.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "10991 San Jose Blvd # 100",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322236675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.