Juan Carlos Perez Fuentes

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3495 SW 107TH CT
Miami, FL 33165-3643

Phone

(786) 238-6031

NPI assigned

Feb 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Vda Community Center Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1669065892
  NPD

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1972196483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 SW 107TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653643",
            "telephone_number": "786-238-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 SW 107TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653643",
            "telephone_number": "786-238-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ FUENTES",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Karla Perez Flores
• Alejandra Perez Fonseca
• Anisleydi Perez Fonseca
• Arianna Perez Fonseca
• Eleany Perez Fuentes
• Tamara Perez Fuerte
• Estela Maria Perez Garay, M.D.
• Aleika Perez Garcia
• Ana Beatriz Perez Garcia
• Camila Perez Garcia

• Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.