Individual provider Active NPI

Yamirka Perugorria, MD

  • Family Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1952643462
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 125907 Issued in FL
Practice address
7522 Wiles Rd Ste B212
Coral Springs, FL 33067-2062
Phone
(754) 308-1750
NPI assigned
Mar 22, 2013
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 125907 FL Primary

Addresses

Primary practice location

7522 Wiles Rd Ste B212
Coral Springs, FL 33067-2062

Mailing address

7522 Wiles Rd Ste B212
Coral Springs, FL 33067-2062
Phone (754) 308-1750

Other identifiers 1

IdentifierTypeStateIssuer
022988200MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627002640 FL Practitioner - Family Practice 7810288552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

5596 W Sample Rd
Margate, FL 33073-3423
Phone (954) 968-4000

9750 NW 33Rd St
120 Florida Perinatal Center LLC
Coral Springs, FL 33065-4000
Phone (954) 255-5799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 125907FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Jun 24, 2019 Accepting new patients
Criticare Clinics Inc CurrentSince Aug 8, 2018 Accepting new patients
Vitalmd Group Holding LLC Family Medicine CurrentSince Jan 3, 2023 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

9750 NW 33rd St
Ste 105
Coral Springs, FL 33065
Phone (954) 255-5799

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

16620 Sheridan St
Fort Lauderdale, FL 33331
Phone (954) 265-3451

1740 Sheridan St
Hollywood, FL 33020
Phone (954) 265-3451

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJEEBD/Endpoint/GJEEBD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1952643462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 WILES RD STE B212",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672062",
            "telephone_number": "754-308-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 WILES RD STE B212",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672062",
            "telephone_number": "754-308-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUGORRIA",
        "first_name": "YAMIRKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 125907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022988200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.