Active NPI
Juan Carlos Perez, MA
- Massage Therapist
- Miami Lakes, FL
National Provider Identifier
1811211683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA33029
- Practice address
- 5881 NW 151St St # 220
Miami Lakes, FL 33014-2497 - Phone
- (786) 631-3738
- Fax
- (305) 675-2861
- NPI assigned
- Mar 22, 2010
- Last updated
- Sep 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | HHC 8276 | FL | |
| Home Health Registered Nurse | 163WH0200X | RN9292617 | FL | |
| Massage Therapist | 225700000X | MA33029 | FL | Primary |
Addresses
Primary practice location
5881 NW 151St St # 220
Miami Lakes, FL 33014-2497
Mailing address
6916 NW 72ND Ave
Miami, FL 33166-3036
Phone (305) 889-0188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA33029 | Other | FL | LMT |
| MA33029 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9292617 | FL | MD | Home Health Registered Nurse |
| MA33029 | FL | MD | Massage Therapist |
| HHC 8276 | FL | MD | Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abba Care LLC | Massage Therapist | Current | Accepting new patients |
| Abba Care LLC | Current | Accepting new patients | |
| Provision Health Inc. | Clinic/Center | Past | Accepting new patients |
Locations
5881 NW 151st St
#220
Miami Lakes, FL 33014
Phone (786) 254-7637
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Miami, FL
- NPI 1285958058
-
- Massage Therapist
- Miami Lakes, FL
- NPI 1407548050
-
- Behavior Analyst
- Miami Lakes, FL
- NPI 1487487005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1811211683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6916 NW 72ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331663036",
"telephone_number": "305-889-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5881 NW 151ST ST # 220",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142497",
"telephone_number": "786-631-3738",
"fax_number": "305-675-2861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JUAN",
"middle_name": "CARLOS",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-22",
"last_updated": "2024-09-26",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": "HHC 8276",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "FL",
"license": "RN9292617",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA33029",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT",
"identifier": "MA33029",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MA33029",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.