Individual provider Active NPI

Jorge Perez, M.D

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1962869941
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME140478 Issued in FL
Practice address
14261 SW 120TH St Ste 112
Miami, FL 33186-7273
Phone
(305) 378-1302
Fax
(305) 383-5314
NPI assigned
Jan 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME140478 FL Primary

Addresses

Primary practice location

14261 SW 120TH St Ste 112
Miami, FL 33186-7273

Mailing address

14261 SW 120TH St Ste 112
Miami, FL 33186-7273
Phone (305) 378-1302

Other identifiers 2

IdentifierTypeStateIssuer
ME140478OtherFLFLORIDA MEDICAL LICENSE
390451OtherAMERICAN BOARD OF INTERNAL MEDICINE

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
I20220428000708 FL Practitioner - Cardiovascular Disease (Cardiology) 7911394648 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140478FLMDCardiovascular Disease Physician

Organizations & group practices 1

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": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1962869941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14261 SW 120TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867273",
            "telephone_number": "305-378-1302",
            "fax_number": "305-383-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14261 SW 120TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867273",
            "telephone_number": "305-378-1302",
            "fax_number": "305-383-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JORGE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-22",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME140478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME140478",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF INTERNAL MEDICINE",
            "identifier": "390451",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.