Individual provider Active NPI

Wilfred Junior Perez-Velez, CRNA

  • Certified Registered Nurse Anesthetist
  • Brooksville, FL
National Provider Identifier
1932623683
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9469917 Issued in FL
Practice address
11375 Cortez Blvd
Brooksville, FL 34613
Phone
(352) 596-6632
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9469917 FL Primary
Certified Registered Nurse Anesthetist 367500000X 2541 PR
Certified Registered Nurse Anesthetist 367500000X 697520 PA

Addresses

Primary practice location

11375 Cortez Blvd
Brooksville, FL 34613

Mailing address

1911 Meadow Dr
Clearwater, FL 33763-4522
Phone (787) 464-7531

Other practice location 1

8 Calle Javilla
San German, PR 00683-4102
Phone (787) 892-5300 ext. 5351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180213002917 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547520462 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9469917FLMDCertified Registered Nurse Anesthetist
697520PAMDCertified Registered Nurse Anesthetist
2541PRMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastromed, LLC CurrentSince Dec 9, 2024 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Apr 1, 2019 Accepting new patients
Nova Medical Services - Anesthesiology Division LLC CurrentSince Mar 2, 2025 Accepting new patients
Greater Florida Anesthesiologists, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 30, 2019 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Apr 1, 2019 Accepting new patients
Greater Florida Anesthesiologists, LLC Current Accepting new patients
Anesthesiology Professional Services, Inc. CurrentSince Aug 18, 2021 Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Jun 30, 2019 Accepting new patients
East Coast Anesthesia LLC CurrentSince Aug 19, 2021 Accepting new patients
Pelican Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 9, 2024 Accepting new patients

Locations

2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

5101 SW 8th St
Ste 200
Coral Gables, FL 33134
Phone (305) 262-6060

5101 SW 8th St
Coral Gables, FL 33134
Phone (305) 441-1570

401 SW 42nd Ave
Ste 201
Coral Gables, FL 33134
Phone (305) 447-0882

5101 SW 8th St
Ste 100
Coral Gables, FL 33134

5101 SW 8th St
Ste 201
Coral Gables, FL 33134
Phone (305) 262-6060

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

434 Washington Ave
Homestead, FL 33030
Phone (786) 384-7101

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

8390 W Flagler St
Ste 221
Miami, FL 33144
Phone (305) 226-5574

11420 N Kendall Dr
Ste 206
Miami, FL 33176
Phone (786) 715-9183

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

Networks

  • Freedom Health HMO Network

Organizations & group practices 11

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": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1932623683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 MEADOW DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337634522",
            "telephone_number": "787-464-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11375 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34613",
            "telephone_number": "352-596-6632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Calle Javilla",
            "address_purpose": "LOCATION",
            "city": "San German",
            "state": "PR",
            "postal_code": "006834102",
            "country_code": "US",
            "telephone_number": "787-892-5300 x5351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ-VELEZ",
        "first_name": "WILFRED",
        "middle_name": "JUNIOR",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9469917",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "2541",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "697520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.