DR. AMANDA PEREZ (NPI# 1477762839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477762839 |
| Entity Type | Individual |
| Full Name | DR. AMANDA PEREZ |
| Credential | M.D. |
| Practice Address |
11825 Sw 26th St Miami FL 33175-2464 |
| Mailing Address |
5730 Sw 74th St Ste 200 South Miami FL 33143-5300 |
| Practice Telephone | 3052662929 |
| Practice Fax Number | 7864529873 |
| Mailing Telephone | 3052662929 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 15998 | PR | Other Service Providers |
| Y | 208D00000X | General Practice | ME135256 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | ACN251 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | BQ646T | 01 |
| FL | 003-516-200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446115 | Amanda Tatiana Perez | Behavior Technician | 126. Main St, Santa Clara, CA 95050 | 2020-01-15 |
| 1780155143 | Amanda Victoria Perez | Counselor | 2299 S Ridgewood Ave, South Daytona, FL 32119-3017 | 2018-12-11 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1912247461 | Amanda Renee Perez | Behavioral Analyst | 8801 Tarryton Ave, Whittier, CA 90605-2221 | 2013-02-20 |
| 1437461324 | Amanda Marie Perez | Social Worker | 51 Upper Montclair Plz Ste 24, Upper Montclair, NJ 07043-1340 | 2010-07-08 |
| 1073759932 | Amanda Chevon Perez | Physical Therapist | 2519 S Lakeline Blvd Ste 100, Cedar Park, TX 78613-2964 | 2008-12-24 |
| 1134753510 | Amanda Perez | Behavioral Analyst | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2020-02-25 |
| 1316578107 | Amanda Perez | Counselor | 130 Austine Dr, Brattleboro, VT 05301-7040 | 2020-01-30 |
| 1699314070 | Amanda Ashley Perez | Physical Therapist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-01-02 |
| 1740838481 | Amanda Luz Perez | Social Worker | 1216 Arch St Fl 6, Philadelphia, PA 19107-2835 | 2019-08-27 |
| Street Address |
11825 SW 26TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-2464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600095 | Medcare Centers, LLC | Clinic/Center | 11825 Sw 26th St, Miami, FL 33175-2464 | 2019-10-16 |
| 1407403942 | Centrum Medical Holdings, LLC | Clinic/Center | 11825 Sw 26th St, Miami, FL 33175-2464 | 2019-08-20 |
| 1376922674 | Medscripts Coral Way Dispensary | Clinic/Center | 11825 Sw 26th St, Miami, FL 33175-2464 | 2015-05-20 |
| 1457756025 | Madelaine Rios | Nurse Practitioner | 11825 Sw 26th St, Miami, FL 33175-2464 | 2014-10-25 |
| 1477957041 | Medlife Activity Center, LLC | Clinic/Center | 11825 Sw 26th St, Miami, FL 33175-2464 | 2014-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| 1942815774 | Mocasa Wellness Center Inc | General Practice | 330 Sw 27th Ave Ste 506, Miami, FL 33135-2967 | 2020-09-09 |
| 1316550163 | Asela Infante Suarez | General Practice | 13450 Sw 97th Ct, Miami, FL 33176-6105 | 2020-08-30 |
| 1740890607 | Serenity Community Mental Healthcare, LLC | General Practice | 10300 Sw 72nd St Ste 250, Miami, FL 33173-3014 | 2020-08-05 |
| 1144841776 | Simplify Home Health Pllc | General Practice | 3301 Ne 1st Ave Apt 2906, Miami, FL 33137-4174 | 2020-05-05 |
| 1104447804 | Dr Jean Pierre LLC | General Practice | 5050 Biscayne Blvd, Miami, FL 33137-3203 | 2020-05-04 |
| 1891316105 | Jorge Luis Vega Morales | General Practice | 14760 Sw 66th St, Miami, FL 33193-2039 | 2020-04-28 |
| 1518587203 | Premium Healthcare Holdings, Lllp | General Practice | 2400 Sw 69th Ave, Miami, FL 33155-1706 | 2020-04-22 |
| 1770118416 | Guido A.perez, M.d., Inc. | General Practice | 701 Nw 57th Ave Ste 260, Miami, FL 33126-2083 | 2020-03-03 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.