Active NPI
Balbino Perez
- Social Worker
- Longwood, FL
National Provider Identifier
1952894552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P626-060-78-259-0
- Practice address
- 368 N Shadowbay Blvd
Longwood, FL 32779-4420 - Phone
- (407) 717-3676
- NPI assigned
- Jun 8, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | P626-060-78-259-0 | FL | Primary |
Addresses
Primary practice location
368 N Shadowbay Blvd
Longwood, FL 32779-4420
Mailing address
368 N Shadowbay Blvd
Longwood, FL 32779-4420
Phone (407) 717-3676
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
Organizations & group practices 2
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.
-
- Non-emergency Medical Transport (VAN)
- Longwood, FL
- NPI 1053153064
-
- Non-emergency Medical Transport (VAN)
- Longwood, FL
- NPI 1346112398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1952894552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 N SHADOWBAY BLVD",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327794420",
"telephone_number": "407-717-3676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "368 N SHADOWBAY BLVD",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327794420",
"telephone_number": "407-717-3676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "BALBINO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-08",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "P626-060-78-259-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.