Individual provider Active NPI

Miguel A Pereira Robert, M.D.

  • Pediatrics Physician
  • Port St Lucie, FL
National Provider Identifier
1912950668
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME-146967 Issued in FL
Practice address
683 SW Port St Lucie Blvd
Port St Lucie, FL 34953-1998
Phone
(787) 484-0750
Fax
(772) 785-8138
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME-146967 FL Primary

Addresses

Primary practice location

683 SW Port St Lucie Blvd
Port St Lucie, FL 34953-1998

Mailing address

11274 SW Village CT Apt 104
Port St Lucie, FL 34987-4413
Phone (787) 484-0750

Other practice location 1

3319 S State Road 7 Ste 109
Wellington, FL 33449-8099
Phone (561) 593-3525

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME-146967FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suramed Health Center, PA Pediatrics Past Accepting new patients
Suramed Health Center, PA Pediatrics Past Accepting new patients
Suramed Health Center, PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcmperei@yourcarecommunity.org

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1912950668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11274 SW VILLAGE CT APT 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349874413",
            "telephone_number": "787-484-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 SW PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531998",
            "telephone_number": "787-484-0750",
            "fax_number": "772-785-8138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3319 S State Road 7 Ste 109",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334498099",
            "country_code": "US",
            "telephone_number": "561-593-3525",
            "fax_number": "561-798-7726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA ROBERT",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME-146967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.