Individual provider Active NPI

Angelica Perez Amaro, MD

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1013795541
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23522 Issued in PR
Practice address
62 Ave Barbosa
Arecibo, PR 00612-4378
Phone
(393) 814-1104
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 23522 PR Primary

Addresses

Primary practice location

62 Ave Barbosa
Arecibo, PR 00612-4378

Mailing address

62 Ave Barbosa
Arecibo, PR 00612-4378
Phone (393) 814-1104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221002673 PR Practitioner - General Practice 8628428281 Reassigns benefits to 1 organization
Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23522PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Emergency Physicians, PSC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1013795541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 AVE BARBOSA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124378",
            "telephone_number": "393-814-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 AVE BARBOSA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124378",
            "telephone_number": "393-814-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ AMARO",
        "first_name": "ANGELICA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.