Individual provider Active NPI

Luis Enrique Perez Sanchez, SA-C

  • Surgical Assistant
  • Miami, FL
National Provider Identifier
1871192211
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
20-399 Issued in FL
Practice address
15411 SW 77TH Circle LN Apt 205
Miami, FL 33193-1823
Phone
(305) 890-3567
NPI assigned
Oct 17, 2020
Last updated
Oct 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 20-399 FL Primary

Addresses

Primary practice location

15411 SW 77TH Circle LN Apt 205
Miami, FL 33193-1823

Mailing address

15411 SW 77TH Circle LN Apt 205
Miami, FL 33193-1823
Phone (305) 890-3567

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
20-399FLMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1871192211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15411 SW 77TH CIRCLE LN APT 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931823",
            "telephone_number": "305-890-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15411 SW 77TH CIRCLE LN APT 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931823",
            "telephone_number": "305-890-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ SANCHEZ",
        "first_name": "LUIS",
        "middle_name": "ENRIQUE",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "20-399",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 17, 2020; 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.