Organization Active NPI

Brilliancy Clinical Research LLC

  • Research Study Specialist
  • Miami, FL
National Provider Identifier
1811618218
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
Legal business name
BRILLIANCY CLINICAL RESEARCH LLC
Practice address
12955 SW 42ND St Ste 2
Miami, FL 33175-2928
Phone
(786) 491-4947
Fax
(305) 364-5711
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Gleys J Perez
Title
P
Phone
(786) 491-4947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 1744R1102X Primary

Addresses

Primary practice location

12955 SW 42ND St Ste 2
Miami, FL 33175-2928

Mailing address

12955 SW 42ND St Ste 2
Miami, FL 33175-2928
Phone (786) 491-4947

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MAIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1811618218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 SW 42ND ST STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752928",
            "telephone_number": "786-491-4947",
            "fax_number": "305-364-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 SW 42ND ST STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752928",
            "telephone_number": "786-491-4947",
            "fax_number": "305-364-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANCY CLINICAL RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "GLEYS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "P",
        "authorized_official_telephone_number": "786-491-4947"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MAIL",
            "affiliation": "N",
            "address_1": "12955 SW 42nd St Ste 2",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331752928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.