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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA9108951 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912125303 | Edgar Peralta | Chiropractor | 407 Centre St, Dallas, TX 75208-6527 | 2007-04-23 |
1134560444 | Edgar Issac Peralta | Rehabilitation Practitioner | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2013-07-15 |
Street Address |
1901 SW 172ND AVE |
City | MIRAMAR |
State | FL |
Zip Code | 33029-5592 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 33029 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
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 |
Find all providers in MIRAMAR |
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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.