Carolina Perez, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9115087 Issued in FL

Practice address

5995 SW 71St St
South Miami, FL 33143-3531

Phone

(305) 669-6833

Fax

(305) 666-4030

NPI assigned

Oct 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1942963202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 SW 71ST ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433531",
            "telephone_number": "305-305-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 SW 71ST ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433531",
            "telephone_number": "305-669-6833",
            "fax_number": "305-666-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CAROLINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9115087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cperez@innovativecancer.com",
            "affiliation": "N",
            "address_1": "5995 SW 71st St",
            "city": "South Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331433531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Malorie Perez-Montoya
• Robinson Andre Perez-Pacheco, LCSW
• Ileana R Perez-Quintairos, M.D.
• Ann Marie Perez, M.S. CCC-SLP
• Carlos Perez, PHARM.D.
• Edward Perez, MD
• Emilio Perez
• Gilly A Perez, M.D.
• Idelxy Perez, M.D.
• Ileana Rosario Perez, M.D.

• Medical Physician Assistant in South Miami, FL
• Providers in South Miami, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.

Verify at the official NPI Registry.