Active NPI
Guillermo Felipe Peralta, ARNP
- Family Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1922556646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9271680
- Practice address
- 2416 W 60TH St
Hialeah, FL 33016-4418 - Phone
- (305) 823-3312
- Fax
- (305) 884-3989
- NPI assigned
- Sep 12, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9271680 | FL | Primary |
Addresses
Primary practice location
2416 W 60TH St
Hialeah, FL 33016-4418
Mailing address
167 W 23Rd St
Hialeah, FL 33010-2211
Phone (305) 823-3312
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161024001760 | FL | Order and Referring Only - Nurse Practitioner | 9032497201 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1922556646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 W 23RD ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330102211",
"telephone_number": "305-823-3312",
"fax_number": "305-884-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 W 60TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330164418",
"telephone_number": "305-823-3312",
"fax_number": "305-884-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "GUILLERMO",
"middle_name": "FELIPE",
"name_prefix": "Dr.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9271680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.