Individual provider Active NPI

Juan Carlos Montes de Oca Perez, APRN FNP

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1972335040
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11034868 Issued in FL
Practice address
13490 SW 271St LN
Homestead, FL 33032-8567
Phone
(786) 286-3678
NPI assigned
Aug 16, 2024
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11034868 FL Primary

Addresses

Primary practice location

13490 SW 271St LN
Homestead, FL 33032-8567

Mailing address

13490 SW 271St LN
Homestead, FL 33032-8567
Phone (786) 286-3678

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113002386 FL Practitioner - Nurse Practitioner 7012445489 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11034868FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Health Group of South Florida Inc CurrentSince Dec 1, 2024 Accepting new patients

Locations

3850 Coconut Creek Pkwy
Ste 3
Coconut Creek, FL 33066
Phone (954) 973-9222

615 SW 57th Ave
Miami, FL 33144
Phone (305) 261-0964

7353 NW 4th St
Plantation, FL 33317
Phone (954) 581-7171

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.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1972335040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13490 SW 271ST LN",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328567",
            "telephone_number": "786-286-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13490 SW 271ST LN",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328567",
            "telephone_number": "786-286-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES DE OCA PEREZ",
        "first_name": "JUAN CARLOS",
        "credential": "APRN  FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.