Rafael Javier Perez, ARNP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

APRN11035124 Issued in FL

Practice address

302 NW 179TH Ave Ste 103
Pembroke Pines, FL 33029-2818

Phone

(954) 442-8380

Fax

(954) 442-8661

NPI assigned

Oct 23, 2024

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 and National Provider Directory roles.

• South Florida Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1770825077
  Medicare reassignment NPD

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1871314666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 SW 33RD ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272913",
            "telephone_number": "786-424-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NW 179TH AVE STE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292818",
            "telephone_number": "954-442-8380",
            "fax_number": "954-442-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RAFAEL",
        "middle_name": "JAVIER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "APRN11035124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Perez, PA
• Neuva Perez, RBT
• Nicholas Perez
• Olga Perez, LMHC
• Patricia Meluza Perez
• Stacey Perez
• Vanessa Ashley Perez, APRN
• Yarelis Perez
• Yilian Perez
• Sarah Pergande, DO

• General Practice Registered Nurse in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• General Practice Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.