Active NPI
Raiza Perez MD PA
- Internal Medicine Physician
- Miami, FL
National Provider Identifier
1841264298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- RAIZA PEREZ MD PA
- Practice address
- 9260 SW 72 St
Suite 205
Miami, FL 33173 - Phone
- (305) 412-3121
- Fax
- (305) 412-3124
- NPI assigned
- Feb 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raiza Perez, MD
- Title
- President Physician
- Phone
- (305) 412-3121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
9260 SW 72 St
Suite 205
Miami, FL 33173
Mailing address
9260 SW 72 St
Suite 205
Miami, FL 33173
Phone (305) 412-3121
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7673751 | Other | AVMED | |
| 296910 | Other | AETNA | |
| 9289124 | Other | CIGNA | |
| 64076 | Other | FL | BLUECROSS BLUE SHIELD |
| 170136 | Other | HUMANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9260 Sunset Dr
Ste 205
Miami, FL 33173
Phone (305) 412-3121
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1538136957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265155200000",
"number": "1841264298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9260 SW 72 ST",
"address_2": "SUITE 205",
"city": "MIAMI",
"state": "FL",
"postal_code": "33173",
"telephone_number": "305-412-3121",
"fax_number": "305-412-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9260 SW 72 ST",
"address_2": "SUITE 205",
"city": "MIAMI",
"state": "FL",
"postal_code": "33173",
"telephone_number": "305-412-3121",
"fax_number": "305-412-3124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAIZA PEREZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-14",
"last_updated": "2010-02-03",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "RAIZA",
"authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
"authorized_official_telephone_number": "305-412-3121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "7673751",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "296910",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9289124",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "64076",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "170136",
"state": null
}
],
"endpoints": [],
"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 Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.