Healthcare Provider Details

I. General information

NPI: 1013959246
Provider Name (Legal Business Name): JOSE PEREZ-TIRSE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 SW 117TH AVE STE 208
MIAMI FL
33183-4825
US

IV. Provider business mailing address

8200 SW 117TH AVE STE 208
MIAMI FL
33183-4825
US

V. Phone/Fax

Practice location:
  • Phone: 786-973-5524
  • Fax: 305-226-8826
Mailing address:
  • Phone: 786-973-5524
  • Fax: 305-226-8826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME63851
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: