Organization Active NPI

Perez Matamoros Medical Services LLC

  • General Practice Physician
  • Cayey, PR
National Provider Identifier
1013309186
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PEREZ MATAMOROS MEDICAL SERVICES LLC
Practice address
Carr 14 KM 0.3
Bo Rincon Sector Lomas
Cayey, PR 00736
Phone
(787) 243-0498
NPI assigned
Feb 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jose J Perez Matamoros, MDNPI 1033439013
Title
Owner/President
Phone
(787) 243-0498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

Carr 14 KM 0.3
Bo Rincon Sector Lomas
Cayey, PR 00736

Mailing address

PO Box 9206
San Juan, PR 00908-9206
Phone (787) 243-0498

Other names 1

  • PEREZ MEDICAL SERVICES Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190410002527 PR Part B Supplier - Clinic/Group Practice 4880935303 Receives reassigned benefits from 1 practitioner
Practice locations: Cayey, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1013309186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9206",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009089206",
            "telephone_number": "787-243-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 14 KM 0.3",
            "address_2": "BO RINCON SECTOR LOMAS",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-243-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ MATAMOROS MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ MATAMOROS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "787-243-0498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEREZ MEDICAL SERVICES",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PEREZ MEDICAL SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.