Individual provider Active NPI

Aixa Perez Alba

  • Social Worker
  • Miami, FL
National Provider Identifier
1992385074
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
13012 SW 85TH Avenue Rd
Miami, FL 33156-6502
Phone
(305) 762-0840
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

13012 SW 85TH Avenue Rd
Miami, FL 33156-6502

Mailing address

15780 SW 148TH Ter
Miami, FL 33196-5704
Phone (305) 762-0840

Other identifiers 1

IdentifierTypeStateIssuer
862865993MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL aixiperez@gmail.com

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Social Integrity Home Health Corp CurrentSince Aug 14, 2022 Accepting new patients
My Friends Adult Day Care Inc Current Accepting new patients

Locations

13012 SW 85th Avenue Rd
Miami, FL 33156
Phone (305) 762-0840

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1992385074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15780 SW 148TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965704",
            "telephone_number": "305-762-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13012 SW 85TH AVENUE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331566502",
            "telephone_number": "305-762-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ALBA",
        "first_name": "AIXA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "862865993",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aixiperez@gmail.com",
            "affiliation": "N",
            "address_1": "15780 SW 148th Ter",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331965704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.