Individual provider Active NPI

Hortensia Perez-Cuevas, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1023021664
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11979 Issued in PR
Practice address
287 Ave Winston Churchill
El Senorial
San Juan, PR 00926-6604
Phone
(787) 760-9638
Fax
(787) 760-9689
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11979 PR Primary

Addresses

Primary practice location

287 Ave Winston Churchill
El Senorial
San Juan, PR 00926-6604

Mailing address

287 Ave Winston Churchill
El Senorial
San Juan, PR 00926-6604
Phone (787) 760-9638

Other identifiers 4

IdentifierTypeStateIssuer
500465EOtherPRMMM
1674OtherPRFIRST MEDICAL
88972OtherPRTRIPLE S
060563OtherPRCRUZ AZUL

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
I20051121000731 PR Practitioner - General Practice 1456370345 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11979PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roced Inc Past Accepting new patients

Organizations & group practices 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1023021664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 AVE WINSTON CHURCHILL",
            "address_2": "EL SENORIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266604",
            "telephone_number": "787-760-9638",
            "fax_number": "787-760-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 AVE WINSTON CHURCHILL",
            "address_2": "EL SENORIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266604",
            "telephone_number": "787-760-9638",
            "fax_number": "787-760-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-CUEVAS",
        "first_name": "HORTENSIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "500465E",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "1674",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "88972",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "060563",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.