Jack Williams Perez Miranda, RN

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

RN9638337 Issued in FL

Practice address

5991 SW 76TH St Apt A4
South Miami, FL 33143-5130

Phone

(786) 587-8479

NPI assigned

Feb 1, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1841053923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8877 SW 25TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652018",
            "telephone_number": "786-587-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5991 SW 76TH ST APT A4",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435130",
            "telephone_number": "786-587-8479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8877 SW 25th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331652018",
            "country_code": "US",
            "telephone_number": "786-587-8479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ MIRANDA",
        "first_name": "JACK WILLIAMS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "FL",
            "license": "RN9638337",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "RN9638337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisela Lisette Pereira, PA
• Mirbelys Perera, M.D.
• Yasser Perez Castaneda, DDS
• Samira Perez Espinoza
• Ramon Osmany Perez Landaburo, APRN
• Maria Eugenia Perez Parra, PA-C
• Aaron Perez-Castaneda, DO
• Patricia Perez-Ferreiro, PSY.D.
• Sophia Laura Perez-Heydrich, MSN, APRN, FNP-BC
• Malorie Perez-Montoya

• Home Health Aide in South Miami, FL
• Providers in South Miami, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.