RAQUEL PEREZ (NPI# 1790223386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790223386 |
| Entity Type | Individual |
| Full Name | RAQUEL PEREZ |
| Credential | FNP |
| Practice Address |
1400 Bishop Estates Rd Jacksonville FL 32259 |
| Mailing Address |
Po Box 45443 Salt Lake City UT 84145-0443 |
| Practice Telephone | 9042872794 |
| Practice Fax Number | 9042875362 |
| Mailing Telephone | 9042021032 |
| Mailing Fax Number | 9043764107 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN9434464 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9434464 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022863100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1305 N Orange Ave Ste 120, Green Cove Springs, FL 320432553 | 9044256963 | 9046740151 |
| 5233 Ricker Rd Ste 101, Jacksonville, FL 322101439 | 9044256963 | 9046740151 |
| 7685 103rd St, Jacksonville, FL 32210 | 9044256963 | 9046740155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497034755 | Raquel Gonzalez Perez | Pharmacist | Hc8 Box 88840, San Sebastian, PR 00685 | 2011-08-04 |
| 1669088019 | Raquel Perez | Behavior Technician | 877 Ygnacio Valley Rd Ste 100, Walnut Creek, CA 94596-3897 | 2020-09-21 |
| 1679974547 | Raquel Perez | Occupational Therapy Assistant | 9468 E Colonial Dr, Orlando, FL 32817-4150 | 2014-09-10 |
| 1518395409 | Raquel Perez | Counselor | 1018 21st St, 1018 21st Street, Bakersfield, CA 93301-4709 | 2013-10-31 |
| 1720206741 | Raquel Perez | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2007-04-23 |
| Street Address |
1400 BISHOP ESTATES RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194796813 | Jaime Lyn Kibler-mccormick | Family Medicine | 1400 Bishop Estates Rd, Credentialing Department, Jacksonville, FL 32259-4244 | 2006-01-30 |
| 1730430893 | Nineveh A Mcintosh | Physician Assistant | 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 | 2012-09-28 |
| 1669653622 | Baptist Primary Care Inc | Family Medicine | 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 | 2007-11-19 |
| 1629195300 | Fruit Cove Family Medicine P A | Family Medicine | 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 | 2007-03-26 |
| 1164592218 | Medical Diagnostic Center of Jacksonville | Radiology | 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 | 2006-11-08 |
| 1821167065 | Carol Ann-marie Noell | Physician Assistant | 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 | 2006-11-06 |
| 1861404899 | Nicole Elaine Fifer | Physician Assistant | 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 | 2006-08-11 |
| 1982673745 | Donald Jacocks Levine | Family Medicine | 1400 Bishop Estates Rd, Credentialing Department, Jacksonville, FL 32259-4244 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659904571 | Ayla Rose Yarbrough | Chiropractor | 1620 County Road 210, St. Johns County, FL 32259 | 2020-02-19 |
| 1831731009 | Andrew Dacunha, Dmd, Pa | Dentist | 71 Doctors Village Drive, Suite 303, Saint Johns, FL 32259 | 2019-10-09 |
| 1801446257 | Mary Alice Taylor | Counselor | 213 Trapper Trace Ct., St. Johns, FL 32259 | 2019-09-18 |
| 1609425826 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 155 Bartram Park Drive, Suite 100, St. Johns, FL 32259 | 2019-09-10 |
| 1518438936 | Yazji Pediatric Care | Pediatrics | 4125 Race Track Rd, Suite Number 104, Saint Johns, FL 32259 | 2018-12-11 |
| 1003328022 | Abundant Life Health Center LLC | Chiropractor | 254 Everest Lane, St. Johns, FL 32259 | 2017-10-31 |
| 1356863732 | Jennifer Eberhard | Nurse Practitioner | 335 Oxford Estates Way, Saint Johns, FL 32259 | 2017-07-07 |
| 1366986861 | Taylor Leard | Physician Assistant | 2001 County Rd 210, Suite 101, St. Johns, FL 32259 | 2016-12-19 |
| 1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
| 1598114233 | Bright Smiles Pediatric Dentistry, Pllc | Dentist | 196 Everest Ln Unit 1, Saint Johns, FL 32259 | 2016-06-03 |
| Find all providers in zip 32259 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293868 | Maria Fe Guboc Rufano-sulit | Nurse Practitioner | 3682 Summerlin Ln, Jacksonville, FL 32224-1650 | 2020-10-21 |
| 1346849502 | Caitlin Flott | Nurse Practitioner | 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 | 2020-10-20 |
| 1972101137 | Amanda Brooke Mills | Nurse Practitioner | 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 | 2020-10-10 |
| 1649877200 | Shalom Barile | Nurse Practitioner | 1377 Ingleside Ave, Jacksonville, FL 32205-7733 | 2020-10-07 |
| 1013524248 | Claudia Joseph | Nurse Practitioner | 3331 Net Ct, Jacksonville, FL 32277-2735 | 2020-10-01 |
| 1063029577 | Erica Francisca Andrade | Nurse Practitioner | 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 | 2020-09-29 |
| 1568078418 | Jennifer Ruth Woodard | Nurse Practitioner | 29 Trinity Way, Jacksonville, AL 36265-5813 | 2020-09-16 |
| 1013522309 | William David Michal | Nurse Practitioner | 4417 Chippewa Dr, Jacksonville, FL 32210-6006 | 2020-09-13 |
| 1063025906 | Fabiola Baptiste | Nurse Practitioner | 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 | 2020-08-29 |
| 1295348464 | Debi Cohen | Nurse Practitioner | 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 | 2020-08-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32259 |
Please comment or provide details below to improve the information on RAQUEL PEREZ.
| 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.