Active NPI
Miguel A Pereira Robert, M.D.
- Pediatrics Physician
- Port St Lucie, FL
National Provider Identifier
1912950668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME-146967
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME-146967 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Pediatrics Physician
- West Palm Beach, FL
- NPI 1083910632
-
- Pediatrics Physician
- Port St Lucie, FL
- NPI 1649896127
-
- Pediatrics Physician
- Wellington, FL
- NPI 1942781505
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.