Lazaro Perez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11033543 Issued in FL

Practice address

5901 Webb Rd
Tampa, FL 33615-3219

Phone

(813) 888-8215

Fax

(813) 885-5398

NPI assigned

Aug 16, 2024

Last updated

Dec 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Carrollwood Medical Group, LLC.

  dba Revello Medical Center

  • Clinic/Center
  • Tampa, FL
  • NPI 1982150348
  Medicare reassignment NPD
• Town and Country Medical Group, LLC.

  dba Revello Medical Center

  • Clinic/Center
  • Tampa, FL
  • NPI 1699940718
  NPD (past)

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1841022050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153219",
            "telephone_number": "813-888-8215",
            "fax_number": "813-885-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153219",
            "telephone_number": "813-888-8215",
            "fax_number": "813-885-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LAZARO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jissenia Perez, MA
• Joel X Perez, PHARMD
• Karen Perez, MSW
• Kathleen Perez, M.D.
• Kelly Perez
• Leo A Perez, M.D.
• Leydi Mariam Perez
• Lia E Perez, MD
• Liliana Perez
• Lilianny Perez, RBT

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.