DR. JUAN J PEREZ (NPI# 1609871748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609871748 |
| Entity Type | Individual |
| Full Name | DR. JUAN J PEREZ |
| Credential | M.D. |
| Practice Address |
800 Century Medical Dr Suite A Titusville FL 32796-2151 |
| Practice Telephone | 3212695101 |
| Practice Fax Number | 3212696871 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2014-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME0060095 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS FLORIDA | 12228 | 01 |
| FL | CHAMPUS/TRICARE FOR LIFE | 12228 | 01 |
| FL | AETNA PROVIDER NUMBER | 3371883 | 01 |
| FL | 053315700 | 05 | |
| FL | WELLCARE | 149995 | 01 |
| FL | MEDICARE RAILROAD NUMBER | P00064988 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403320 | Juan David Perez Jr. | Counselor | 1950 Eldridge Pkwy Apt 2106, Houston, TX 77077-3431 | 2019-12-01 |
| 1386127413 | Juan Perez | Nurse Practitioner | 7946 Nw 190th Ln, Hialeah, FL 33015-2746 | 2018-09-14 |
| 1194067033 | Juan A Perez | Massage Therapist | 7871 W 29th Way, 102, Hialeah, FL 33018-7246 | 2013-03-18 |
| 1437451192 | Juan Miguel Perez | Physical Therapist | 1 Via Pedregal Apt 805, Montecillo 1 Encantada, Trujillo Alto, PR 00976-6609 | 2010-11-30 |
| 1295043115 | Juan Alberto Perez | Family Medicine | 698 Ne 69th St, Miami, FL 33138-5704 | 2010-09-14 |
| 1104092121 | Juan E. Perez | Occupational Therapy Assistant | 3507 Jaime Zapata Memorial Hwy Ste 1and2, Laredo, TX 78043 | 2008-04-30 |
| 1356554372 | Juan Luis Perez | Residential Treatment Facility, Physical Disabilities | 87 Calle Central, Catano, PR 00962-4107 | 2007-05-07 |
| 1558411926 | Juan M Perez | Optometrist | 221 Ventura Blvd # 126, Oxnard, CA 93036-0277 | 2007-01-10 |
| 1083779631 | Juan R Perez | Counselor | 620 W Westchester Pkwy Apt 2207, Grand Prairie, TX 75052-3268 | 2006-12-26 |
| 1760445878 | Juan Manuel Perez | Internal Medicine | 24445 Northwestern Hwy, Suite 206, Southfield, MI 48075-6501 | 2006-04-10 |
| Street Address |
800 CENTURY MEDICAL DR SUITE A |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796-2151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892245 | Ricardo Rivera-morales | Internal Medicine | 800 Century Medical Dr, Suite A, Titusville, FL 32796-2151 | 2005-06-21 |
| 1962694836 | Quintana & Perez Md Pa | Specialist | 800 Century Medical Dr, Ste B, Titusville, FL 32796-2151 | 2007-08-15 |
| 1710944558 | Perez & Rivera P L | Specialist | 800 Century Medical Dr, Suite A, Titusville, FL 32796-2151 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698091 | Miranda Jade Lacey | Behavior Technician | 2073 Graden St, Titusville, FL 32796 | 2020-01-13 |
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
| 1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
| 1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
| 1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
| 1134403108 | Titusville Chiropractic & Injury Center, Inc. | Chiropractor | 850 Century Medical Drive, Titusville, FL 32796 | 2011-10-07 |
| 1992095152 | Jennifer Eleanor Koffman | Occupational Therapy Assistant | 140 N Hilltop Drive, Titusville, FL 32796 | 2011-04-08 |
| Find all providers in zip 32796 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892245 | Ricardo Rivera-morales | Internal Medicine | 800 Century Medical Dr, Suite A, Titusville, FL 32796-2151 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507431 | Tricounty Physicians, LLC | Internal Medicine | 1507 Buenos Aires Blvd Ste 102, The Villages, FL 32159-8974 | 2020-01-21 |
| 1104464262 | Naples Pulmonary LLC | Internal Medicine | 3021 Airport Pulling Rd N Ste 103, Naples, FL 34105-3077 | 2019-12-19 |
| 1245892611 | Blueapplecare, LLC. | Internal Medicine | 2625 Executive Park Dr Ste 101, Weston, FL 33331-3634 | 2019-07-05 |
| 1598321051 | South Broward Hospital District | Internal Medicine | 7369 Sheridan St Ste 302, Hollywood, FL 33024-2776 | 2019-05-10 |
| 1255800629 | Shiffa Medical Solutions LLC | Internal Medicine | 12144 Montalcino Circle, Windermere, FL 34780 | 2018-11-15 |
| 1538638853 | Arif Shakoor II LLC | Internal Medicine | 2257 Us Highway 441 N Ste C, Okeechobee, FL 34972-1943 | 2018-11-15 |
| 1396226304 | Adayiba Zamora | Internal Medicine | 10794 Pines Blvd Ste 205, Pembroke Pines, FL 33026-3920 | 2018-08-27 |
| 1366929465 | Ernesto E. Fonts, M.d, P.a. | Internal Medicine | 777 E 25th St Ste 512, Hialeah, FL 33013-3834 | 2018-07-23 |
| 1528552494 | Joseph C Daley IIi Md Fccp LLC | Internal Medicine | 1031 Se 9th Pl Unit 2, Cape Coral, FL 33990-3003 | 2018-06-14 |
| 1992200158 | James Lucio Md, Pa | Internal Medicine | 12627 Butler Bay Ct, Windermere, FL 34786-6102 | 2018-03-28 |
| Find all providers with the same taxonomy | ||||
| City | TITUSVILLE |
| Zip Code | 32796 |
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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.