DR. MARICEL JADETH PEREZ (NPI# 1245524123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245524123 |
| Entity Type | Individual |
| Full Name | DR. MARICEL JADETH PEREZ |
| Credential | D.M.D. |
| Practice Address |
500 N Hiatus Rd Ste 109 Pembroke Pines FL 33026 |
| Mailing Address |
500 N Hiatus Rd Ste 109 Pembroke Pines FL 33026-5213 |
| Practice Telephone | 9544318484 |
| Mailing Telephone | 9544318484 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2019-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN23893 | FL | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
2874 | PR | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1475 Calle Wilson, Suite 1a, San Juan, PR 009072357 | 7877286165 | |
| 500 N Hiatus Rd Ste 109, Pembroke Pines, FL 33026 | 9544318484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154885499 | Maricel V Perez | Respiratory Therapist, Certified | 5700 Village Oaks Dr Apt 1415, San Jose, CA 95123-3778 | 2019-01-30 |
| Street Address |
500 N HIATUS RD STE 109 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669695565 | Laura Gonzalez | Dentist | 500 N Hiatus Rd Ste 109, Pembroke Pines, FL 33026-5213 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161594 | Shantall Di Loreto Parra | Dentist | 600 N Hiatus Rd Ste 103, Pembroke Pines, FL 33026-5207 | 2020-07-14 |
| 1831725282 | Annabel Perez Pllc | Dentist | 18450 Pines Blvd Ste 202, Pembroke Pines, FL 33029-1423 | 2020-03-18 |
| 1881243855 | Friedland Family Dentistry | Dentist | 10031 Pines Blvd # W101, Pembroke Pines, FL 33024-6179 | 2019-09-11 |
| 1699337253 | Eduardo Enrique Garcia Perez | Dentist | 17868 Nw 2nd St, Pembroke Pines, FL 33029-2806 | 2019-07-03 |
| 1891235321 | Hugo Daniel Pozaicer Uribe | Dentist | 18503 Pines Blvd Ste 208, Pembroke Pines, FL 33029 | 2017-03-02 |
| 1356892467 | Total Dental Centers, Pllc | Dentist | 12169 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2016-10-24 |
| 1316353360 | Dental Choice Mobile Florida LLC | Dentist | 11077 Sw 5th Ct, Pembroke Pines, FL 33025-7025 | 2014-07-09 |
| 1447694799 | Lazcano Family Dental P.a | Dentist | 10051 Pines Blvd Ste C, Pembroke Pines, FL 33024-6172 | 2013-04-17 |
| 1720329766 | Christina Sofia Hernandez | Dentist | 1520 Sw 194th Ter, Pembroke Pines, FL 33029-6160 | 2013-03-14 |
| 1063757912 | Lakes Mall Dental Center, Pa | Dentist | 11401 Pines Blvd Ste 220, Pembroke Pines, FL 33026-4104 | 2012-12-04 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
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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.