Individual provider Active NPI

Angel Luis Perez, R.N.

  • Home Health Registered Nurse
  • Doral, FL
National Provider Identifier
1831429505
Registry record updated Jan 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN9206609 Issued in FL
Practice address
9999 NW 27TH Ter
Doral, FL 33172-1314
Phone
(305) 610-3751
Fax
(305) 436-5090
NPI assigned
Jan 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9206609 FL
Home Health Registered Nurse 163WH0200X RN9206609 FL Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN9206609 FL

Addresses

Primary practice location

9999 NW 27TH Ter
Doral, FL 33172-1314

Mailing address

9999 NW 27TH Ter
Doral, FL 33172-1314
Phone (305) 610-3751

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9206609FLMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1262390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262390400000",
    "number": "1831429505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 NW 27TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721314",
            "telephone_number": "305-610-3751",
            "fax_number": "305-436-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 NW 27TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721314",
            "telephone_number": "305-610-3751",
            "fax_number": "305-436-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANGEL",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-02",
        "last_updated": "2010-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9206609",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9206609",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9206609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2010; 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.