Individual provider Active NPI

Marta J Perez, MD

  • Maternal & Fetal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1972917334
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME147407 Issued in FL
Practice address
836 Prudential Dr Ste 1800
Jacksonville, FL 32207-8345
Phone
(904) 398-7684
Fax
(314) 747-1429
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2020000357 MO
Maternal & Fetal Medicine Physician 207VM0101X ME147407 FL Primary

Addresses

Primary practice location

836 Prudential Dr Ste 1800
Jacksonville, FL 32207-8345

Mailing address

836 Prudential Dr Ste 1800
Jacksonville, FL 32207-8345
Phone (904) 398-7684

Other identifiers 1

IdentifierTypeStateIssuer
200081021MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180823001161 FL Practitioner - Obstetrics/Gynecology 3476774506 Reassigns benefits to 4 organizations
I20200326002213 MO Practitioner - Obstetrics/Gynecology 3476774506 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME147407FLMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Obstetrics & Gynecology CurrentSince Sep 15, 2025 Accepting new patients
SSM Health Care St. Louis Obstetrics & Gynecology CurrentSince May 1, 2020 Accepting new patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
SSM Health Care St Louis CurrentSince May 1, 2020 Accepting new patients
Halifax Healthcare Systems Inc Obstetrics & Gynecology CurrentSince Aug 11, 2025 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Pediatrix Medical Group of Florida, Inc Maternal & Fetal Medicine PastSince Jun 6, 2021 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

6885 Belfort Oaks Pl
Ste 240
Jacksonville, FL 32216
Phone (904) 642-0311

836 Prudential Dr
Ste 1800
Jacksonville, FL 32207
Phone (904) 398-7684

836 Prudential Dr
Ste 1202
Jacksonville, FL 32207
Phone (904) 208-2550

12110 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 208-2550

2525 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-0704

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mperez157504@direct.carenet.org

Organizations & group practices 7

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": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1972917334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 PRUDENTIAL DR STE 1800",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078345",
            "telephone_number": "904-398-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PRUDENTIAL DR STE 1800",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078345",
            "telephone_number": "904-398-7684",
            "fax_number": "314-747-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARTA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2020000357",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME147407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200081021",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.