Individual provider Active NPI

Hugo Perez, M.D. F.A.A.P.

  • Pediatrics Physician
  • Bonita Springs, FL
National Provider Identifier
1790860625
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME39502 Issued in FL
Practice address
9200 Bonita Beach Rd SE Ste 106
Bonita Springs, FL 34135-4254
Phone
(239) 213-0690
Fax
(239) 552-4060
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME39502 FL Primary

Addresses

Primary practice location

9200 Bonita Beach Rd SE Ste 106
Bonita Springs, FL 34135-4254

Mailing address

5955 Ponce de Leon Blvd
Coral Gables, FL 33146-2423
Phone (305) 661-1515

Other identifiers 1

IdentifierTypeStateIssuer
NPI NEEDEDOtherFLNPI

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
I20190201001789 FL Practitioner - Pediatric Medicine 0446597140 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME39502FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Medical Services, Inc Current Accepting new patients
Kidz Medical Services, Inc CurrentSince Jul 2, 2018 Accepting new patients
Kidz Medical Services, Inc CurrentSince Jul 2, 2018 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500

9200 Bonita Beach Rd SE
Ste 106
Bonita Springs, FL 34135
Phone (239) 213-0690

5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

2600 Immokalee Rd
Naples, FL 34110
Phone (239) 213-0690

Interoperability endpoints

  • Direct secure messaging: hugo.perez.1@27004.direct.athenahealth.com

Organizations & group practices 3

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1790860625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462423",
            "telephone_number": "305-661-1515",
            "fax_number": "305-662-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 BONITA BEACH RD SE STE 106",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354254",
            "telephone_number": "239-213-0690",
            "fax_number": "239-552-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "HUGO",
        "name_prefix": "Dr.",
        "credential": "M.D. F.A.A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME39502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "NPI NEEDED",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.