Individual provider Active NPI

Ronal Perdomo Lugo, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1891380358
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11038208 Issued in FL
Practice address
540 NW 99TH PL
Miami, FL 33172-4047
Phone
(502) 608-6694
NPI assigned
Mar 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 11038208 FL Primary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X 21-150 WI

Addresses

Primary practice location

540 NW 99TH PL
Miami, FL 33172-4047

Mailing address

540 NW 99TH PL
Miami, FL 33172-4047
Phone (502) 608-6694

Other practice location 1

8500 SW 8th St Ste 246
Miami, FL 33144-4000
Phone (305) 262-6070

Other practice location 2

14221 SW 120th St
Miami, FL 33186-7236
Phone (786) 615-2550

Other identifiers 1

IdentifierTypeStateIssuer
11038208OtherFLAUTONOMOUSAPRN

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
21-150WIMDSurgical Assistant
11038208FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1891380358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NW 99TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724047",
            "telephone_number": "502-608-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NW 99TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724047",
            "telephone_number": "502-608-6694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 SW 8th St Ste 246",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331444000",
            "country_code": "US",
            "telephone_number": "305-262-6070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14221 SW 120th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331867236",
            "country_code": "US",
            "telephone_number": "786-615-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDOMO LUGO",
        "first_name": "RONAL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-06",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11038208",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "21-150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTONOMOUSAPRN",
            "identifier": "11038208",
            "state": "FL"
        }
    ],
    "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 Nov 18, 2025; 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.