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Miguel De Jesus Perez Martinez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9635 SW 181st Ter, Palmetto Bay, FL 33157-5630

PECOS Enrollment

This provider is enrolled in PECOS as MIGUEL PEREZ MARTINEZ.

Based on the most recent information from CMS, provider Miguel De Jesus Perez Martinez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1003288291
Provider Type
Individual
Full Name
Perez Martinez, Miguel De Jesus
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/27/2015
Last Updated
1/3/2020

Contact Information

Practice Location

9635 SW 181st Ter, Palmetto Bay, FL 33157-5630

(305) 238-8561

(305) 238-4089

Mailing Location

14750 NW 77th Ct Ste 100, Miami Lakes, FL 33016-1507

(786) 485-1005

(786) 441-2156

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9383159 Florida

Miguel De Jesus Perez Martinez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Rodriguez, Delkis

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Pesant Hernandez, Olenia

Caballero, Michelle

Leon Leon, Rainel

Cobos, Diana Na

D'Adesky, Taryn