MR. HUGO PEREZ LARA (NPI# 1669636825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669636825 |
| Entity Type | Individual |
| Full Name | MR. HUGO PEREZ LARA |
| Credential | PA |
| Practice Address |
12177 Pembroke Rd Pembroke Pines FL 33025-1727 |
| Practice Telephone | 9544360555 |
| Practice Fax Number | 9544360108 |
| Mailing Telephone | 9544360555 |
| Mailing Fax Number | 9544360108 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2013-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9100602 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9100602 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12177 PEMBROKE RD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33025-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013947472 | Evelyn Nieves | Family Medicine | 12177 Pembroke Rd, Pembroke Pines, FL 33025 | 2006-07-03 |
| 1235611534 | Cary M Zinkin Dpm, Pa | Podiatrist | 12177 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2018-09-04 |
| 1174886063 | Marina Molitor | Physician Assistant | 12177 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2012-06-17 |
| 1952670093 | Greentree Medical Group LLC | Internal Medicine | 12177 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2011-12-19 |
| 1689978843 | Mildred Taveras | Physician Assistant | 12177 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2011-01-03 |
| 1528225638 | Carlos Perez | Family Medicine | 12177 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2008-05-18 |
| 1194858746 | Emilio Edgardo Castaneda | Internal Medicine | 12177 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702329 | Ashley V Carter | Nutritionist | 3803 Sw 93rd Ave, Miramar, FL 33025 | 2019-10-24 |
| 1477024305 | Jeff Rocker | Counselor | 10700 City Center Blvd Apt 5245, Pembroke Pines, FL 33025 | 2018-12-17 |
| 1760959779 | Spring Health Inc | In Home Supportive Care | 1799 Sw 82nd Pl, Miramar, FL 33025 | 2018-10-28 |
| 1649763004 | Ann-marie Elizabeth Pryce | Nurse Practitioner | 8942 Sw 19th St, Miramar, FL 33025 | 2018-06-11 |
| 1588154876 | Michelle Angelle Crawford | Behavior Technician | 10630 Washington St Apt 103, Pembroke Pines, FL 33025 | 2018-05-14 |
| 1598267809 | Lydia Rosa Malcolm | Psychologist | 11820 Miramar Pkwy Ste 309, Miramar, FL 33025 | 2018-03-02 |
| 1447760657 | At Talitha Cumi Home Care, Inc. | Homemaker | 3140 Sw 120 Terr, Miramar, FL 33025 | 2017-10-03 |
| 1962924522 | Yenni Celina Cueto | Behavioral Analyst | 720 Sw 111th Ave Apt 303, Pembroke Pines, FL 33025 | 2017-07-14 |
| 1093236713 | Manoucheca Fabienne Phanord | Nurse Practitioner | 11575 City Hall Promenade, #4-150, Miramar, FL 33025 | 2017-07-03 |
| 1659801439 | Desiree Verina Nugent | Family Medicine | 3772 Sw 93rd Ave, Miramar, FL 33025 | 2017-06-14 |
| Find all providers in zip 33025 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154953826 | Anne Marie Salsbury Company | Physician Assistant | 601 Nw 179th Ave Ste 102, Pembroke Pines, FL 33029-2819 | 2020-02-10 |
| 1598271322 | Kaitlyn Rowan | Physician Assistant | 2210 Nw 167th Ave Apt 9-206, Pembroke Pines, FL 33028-1877 | 2017-12-15 |
| 1518404482 | Oscar Miranda | Physician Assistant | 18456 Nw 24 Street, Pembroke Pines, FL 33029 | 2017-01-30 |
| 1760721617 | Katherine V Marshall | Physician Assistant | 680 North University Dr, Pembroke Pines, FL 33024 | 2013-02-12 |
| 1629386396 | Luis D'montique Soriano | Physician Assistant | 1220 Bel Aire Dr W, Pembroke Pines, FL 33027-2220 | 2010-09-15 |
| 1972721256 | Gustavo A Aguilar | Physician Assistant | Boulevard Professional Centre 10796 Pines Blvd Ste 103, Pembroke Pines, FL 33026 | 2007-04-23 |
| 1285771808 | Derrick Anthony Davis | Physician Assistant | 320 S Flamingo Rd, # 112, Pembroke Pines, FL 33027-1770 | 2007-01-31 |
| 1063473502 | Cynthia L Stimeck | Physician Assistant | 20021 Nw 3rd St, Pembroke Pines, FL 33029-3312 | 2006-03-31 |
| 1124096946 | Robert J Bertot | Physician Assistant | 703 N Flamingo Road, Pembroke Pines, FL 33028 | 2006-03-08 |
| 1851921738 | Katherin Rodriguez | Physician Assistant | 501 Nw 179th Ave, Pembroke Pines, FL 33029-2807 | 2020-01-20 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33025 |
Please comment or provide details below to improve the information on MR. HUGO PEREZ LARA.
| 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.