MR. EDGAR A. PERALTA


Address: 1901 Sw 172nd Ave, Miramar, FL 33029-5592
Phone: 9545385000

MR. EDGAR A. PERALTA (NPI# 1619345899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619345899
Entity Type Individual
Full Name MR. EDGAR A. PERALTA
Credential P.A.C.
Practice Address 1901 Sw 172nd Ave
Miramar
FL 33029-5592
Mailing Address 1730 Acorn Ln
Pembroke Pines
FL 33026-2403
Practice Telephone 9545385000
Mailing Telephone 9545917584
Enumeration Date 2015-09-04
Last Update Date 2016-01-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9108951 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1901 SW 172ND AVE
City MIRAMAR
State FL
Zip Code 33029-5592

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326021197 South Broward Hospital District General Acute Care Hospital 1901 Sw 172nd Ave, Miramar, FL 33029-5592 2005-11-25
1871123687 Linda Maria Weisberg Nurse Anesthetist, Certified Registered 1901 Sw 172nd Ave, Miramar, FL 33029-5592 2020-01-21
1477069656 Jennifer Christine Wright D'orazio Nurse Practitioner 1901 Sw 172nd Ave, Miramar, FL 33029-5592 2017-12-24
1104376722 Nancy Jennifer Gavilanes Nurse Practitioner 1901 Sw 172nd Ave, Miramar, FL 33029-5592 2016-10-06
1760722268 Astrid Laverde Nurse Anesthetist, Certified Registered 1901 Sw 172nd Ave, Miramar, FL 33029-5592 2013-02-20
1790022507 Barbara Rosa Martinez Md Pa Family Medicine 1901 Sw 172nd Ave, Miramar, FL 33029-5592 2013-01-14
1518211010 Laura Pequeno Pharmacist 1901 Sw 172nd Ave, Miramar, FL 33029-5592 2012-11-05
1295086270 Pedro A Lorenzo Jr. Anesthesiologist Assistant 1901 Sw 172nd Ave, Miramar, FL 33029-5592 2012-10-01
1073895017 Edward De Jesus Bolanos Anesthesiologist Assistant 1901 Sw 172nd Ave, Miramar, FL 33029-5592 2011-09-15
1366738965 Leonel Diaz Jr. Emergency Medicine 1901 Sw 172nd Ave, Miramar, FL 33029-5592 2011-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407418981 Whole Life Distributors Clinical Nurse Specialist 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 2019-07-03
1295215507 Rise N Shine Pharmacy Inc Pharmacy 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 2018-08-16
1124505631 Ivabella Alexandre Nurse Practitioner 17590 Sw 29th Ct, Miramar, FL 33029 2018-07-26
1346735883 Ally Suzanne Montero Specialist/Technologist 18549 Sw 50th Ct, Miramar, FL 33029 2018-06-27
1386144046 Alfonso Chie Chiropractor 18249 Pines Blvd, Pembroke Pines, FL 33029 2018-02-19
1316454960 Danay Rodriguez-arritola Registered Nurse 1501 Sw 186 Ave, Pembroke Pines, FL 33029 2018-01-04
1316456528 Orestes Mederos Student in an Organized Health Care Education/Training Program 17429 Sw 54 St, Miramar, FL 33029 2017-09-20
1508389644 Konfetti Kidz Therapy Occupational Therapy Assistant 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 2017-07-20
1215458765 Nilien Cruz Palenzuela Behavior Technician 18024 Nw 21st St, Pembroke Pines, FL 33029 2017-07-05
1033650288 Best Onsite Therapy Services, Inc. Home Health 18541 Sw 43rd Street, Miramar, FL 33029 2017-03-20
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972141836 Ryan Malossi Physician Assistant 9250 Ashley Dr, Miramar, FL 33025-3809 2019-12-11
1780220152 Leighton Parkins Physician Assistant 2293 Sw 182nd Way, Miramar, FL 33029-5251 2019-11-20
1508409020 Maria Razzaq Physician Assistant 16534 Sw 39th St, Miramar, FL 33027-4638 2019-10-28
1184266082 Juliana Escobar Restrepo Physician Assistant 9278 Sw 39th St, Miramar, FL 33025-7353 2019-10-11
1871055400 Valerie Dominguez Physician Assistant 19025 Sw 25th Ct, Miramar, FL 33029-2464 2019-04-02
1609395813 Marcela Bernal Physician Assistant 2251 W Preserve Way Apt 204, Miramar, FL 33025-6595 2017-09-19
1144771080 Samson Saint Fleur Physician Assistant 19198 Sw 26th St, Miramar, FL 33029-2498 2016-10-15
1194181321 Angelica Merlano Physician Assistant 12701 Sw 42nd St, Miramar, FL 33027-6024 2016-01-04
1235500844 Jean-baptiste Pierre Physician Assistant 2741 Laguna Way, Miramar, FL 33025-4218 2015-10-08
1942548987 Johan Isaiah Garel Physician Assistant 3908 S State Road 7, Miramar, FL 33023-6162 2013-01-25
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Competitor

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City MIRAMAR
Zip Code 33029

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Dataset Information

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.

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