Individual provider Active NPI

Eddie Perez, DDS

  • Prosthodontics
  • Maitland, FL
National Provider Identifier
1932021235
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
32203 Issued in FL
Practice address
1101 N Lake Destiny Rd Ste 130
Maitland, FL 32751-7105
Phone
(321) 304-2912
NPI assigned
Jul 28, 2026
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 32203 FL Primary

Addresses

Primary practice location

1101 N Lake Destiny Rd Ste 130
Maitland, FL 32751-7105

Mailing address

1101 N Lake Destiny Rd Ste 130
Maitland, FL 32751-7105

Other practice location 1

2101 Park Center Dr
Orlando, FL 32835-7626
Phone (321) 413-3088

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

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1932021235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N LAKE DESTINY RD STE 130",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N LAKE DESTINY RD STE 130",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517105",
            "telephone_number": "321-304-2912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Park Center Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328357626",
            "country_code": "US",
            "telephone_number": "321-413-3088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EDDIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "32203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.