NPIMap

Individual provider Active NPI

Jose Raul Perez, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hialeah, FL
National Provider Identifier
1902301377
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME166412 Issued in FL
Practice address
7100 W 20TH Ave Ste 101
Hialeah, FL 33016-1813
Phone
(305) 822-0401
Fax
(305) 824-1748
NPI assigned
Mar 28, 2018
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME166412 FL Primary
General Practice Physician 208D00000X 166412 FL

Addresses

Primary practice location

7100 W 20TH Ave Ste 101
Hialeah, FL 33016-1813

Mailing address

7100 W 20TH Ave Ste 101
Hialeah, FL 33016-1813
Phone (305) 822-0401

Other practice location 1

6901 Okeechobee Blvd Ste D7
West Palm Beach, FL 33411-2513
Phone (305) 266-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604002013 FL Practitioner - Orthopedic Surgery 1153863329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Miami, LM Miller School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Specialists of S Florida P aGroup PAC ID 2264467851, 8 clinicians

Practice addresses (Care Compare)

7100 W 20TH Ave
Suite 101
Hialeah, FL 33016-1813
Phone (305) 822-0401

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
166412FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Holdings, LLC CurrentSince Feb 3, 2025 Accepting new patients
Centrum Medical Holdings, LLC Current Accepting new patients
Orthopedic Specialists of S Florida P a CurrentSince Jun 1, 2024 Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Feb 3, 2025 Accepting new patients

Locations

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

7100 W 20th Ave
Ste 101
Hialeah, FL 33016
Phone (305) 822-0401

3138 N Federal Hwy
Lighthouse Point, FL 33064

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

6901 Okeechobee Blvd
Ste D7
West Palm Beach, FL 33411
Phone (561) 371-3326

Organizations & group practices 4

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

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1902301377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161813",
            "telephone_number": "305-822-0401",
            "fax_number": "305-824-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161813",
            "telephone_number": "305-822-0401",
            "fax_number": "305-824-1748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 Okeechobee Blvd Ste D7",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334112513",
            "country_code": "US",
            "telephone_number": "305-266-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOSE",
        "middle_name": "RAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME166412",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "166412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.