Individual provider Active NPI

Reynaldo Perez, D.C

  • Rehabilitation Chiropractor
  • Homestead, FL
National Provider Identifier
1861630071
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH 7158 Issued in FL
Practice address
207 N Krome Ave
Homestead, FL 33030-6018
Phone
(305) 246-0056
Fax
(305) 246-0093
NPI assigned
Jan 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 7158 FL
Rehabilitation Chiropractor 111NR0400X CH 7158 FL Primary

Addresses

Primary practice location

207 N Krome Ave
Homestead, FL 33030-6018

Mailing address

207 N Krome Ave
Homestead, FL 33030-6018
Phone (305) 246-0056

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

State licenses

LicenseStateTypeSpecialty
CH 7158FLMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Spine and Joint, Inc Current Accepting new patients
Florida Wellness Center of Tallahassee, Inc Chiropractor Current Accepting new patients
Florida Wellness & Rehabilitation Center of Homestead, Inc Chiropractor Current Accepting new patients

Locations

207 N Krome Ave
Homestead, FL 33030
Phone (305) 246-0056

207 N Krome Ave
#201
Homestead, FL 33030
Phone (305) 246-0056

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1861630071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306018",
            "telephone_number": "305-246-0056",
            "fax_number": "305-246-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306018",
            "telephone_number": "305-246-0056",
            "fax_number": "305-246-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "REYNALDO",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 7158",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH 7158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.