DR. ALTAGRACIA JOSEFINA PEREZ (NPI# 1861738585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861738585 |
| Entity Type | Individual |
| Full Name | DR. ALTAGRACIA JOSEFINA PEREZ |
| Other Name | DR. ALTAGRACIA JOSEFINA PEREZ |
| Credential | PA,SU, FOREIGN MD |
| Practice Address |
1115 Sw 11th Ave Miami FL 33129-1820 |
| Mailing Address |
Po Box 557635 Miami FL 33255-7635 |
| Practice Telephone | 3059757541 |
| Practice Fax Number | 3052258140 |
| Mailing Telephone | (305) 975-7541 |
| Mailing Fax Number | 3052258140 |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2017-07-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246Q00000X | Spec/Tech, Pathology | 012984 | NY | Technologists, Technicians & Other Technical Service Providers |
| Y | 246Q00000X | Spec/Tech, Pathology | SU41493 | FL | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FOREIGN M.D. & PATHOLOGIST (DOM. REP.) | M.D. 3907 | 01 |
| Street Address |
1115 SW 11TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33129-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029548 | Daniel Sheridan | Psychologist | 2730 Sw 3rd Ave., Suite 202-o, Miami, FL 33129 | 2018-07-10 |
| 1710494166 | Ernestina Dupote | Nurse Practitioner | 200 Se 15th Rd, 16a, Miami, FL 33129 | 2018-01-08 |
| 1497264212 | Maria Fumero Mussini | Acupuncturist | 64 Sw 18 Road, Miami, FL 33129 | 2017-09-25 |
| 1477082964 | Lillian Maite Moya | Nurse Practitioner | 2222 Brickell Ave Apt 5, Miami, FL 33129 | 2017-06-08 |
| 1104170091 | Rodolfo Antonio Paez | Massage Therapist | 2951 Sw 1 Ave, Miami, FL 33129 | 2012-10-31 |
| 1134489560 | Jolie M Cummings | Speech-Language Pathologist | 2625 S.w. 3 Avenue, Miami, FL 33129 | 2012-05-18 |
| 1396049656 | Lila Giselle Paredes Vera | Speech-Language Pathologist | 1723 Sw 2nd Ave Apt 1202, Miami, FL 33129 | 2010-12-30 |
| 1891939294 | Alexis Dominguez | Obstetrics & Gynecology | 3161 South Miami Ave, Ste 710, Miami, FL 33129 | 2009-04-29 |
| 1538360821 | Assisted Home Living #2 | Assisted Living Facility | 2942 Sw 4 Ave, Miami, FL 33129 | 2007-05-31 |
| 1518168889 | Assisted Home Living #4 | Assisted Living Facility | 316 Sw 18 Terr, Miami, FL 33129 | 2007-05-31 |
| Find all providers in zip 33129 | ||||
| Taxonomy Code | 246Q00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| (1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942625876 | Magda Montano | Spec/Tech, Pathology | 1100 Nw 95th St, Miami, FL 33150-2038 | 2014-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174146302 | Federico Gordon Jr. | Spec/Tech, Pathology | 601 S Harbour Island Blvd Ste 109, Tampa, FL 33602-5927 | 2020-05-21 |
| 1932227667 | Jian-ping Cai | Spec/Tech, Pathology | 5610 W La Salle St, Tampa, FL 33607-1770 | 2007-03-27 |
| 1922009281 | James E Eadens | Spec/Tech, Pathology | 2001 Webber St, Sarasota, FL 34239-5237 | 2005-08-09 |
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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.