Active NPI
Nelson A Perez, DMD
- Dentist
- Rio Grande, PR
National Provider Identifier
1043217516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2277
- Practice address
- Calle 54 BG 176
Jardines de Rio Grande
Rio Grande, PR 00745 - Phone
- (787) 887-7281
- Fax
- (787) 888-7008
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2277 | PR | Primary |
Addresses
Primary practice location
Calle 54 BG 176
Jardines de Rio Grande
Rio Grande, PR 00745
Mailing address
Calle Laurel 2306
Cond. the Terrace 10F
San Juan, PR 00913
Phone (787) 378-7275
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041910 | Other | PR | LA CRUZ AZUL |
| 42292PE | Other | PR | TRIPLE S |
Other names 1
- Dr. Nelson A. Perez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2277 | PR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grupo Fisiatrico-Dental del Este, Corp. | Dentist | 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.
-
- Physical Medicine & Rehabilitation Physician
- Rio Grande, PR
- NPI 1265874689
Dentist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1043217516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE LAUREL 2306",
"address_2": "COND. THE TERRACE 10F",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00913",
"telephone_number": "787-378-7275",
"fax_number": "787-657-2931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 54 BG 176",
"address_2": "JARDINES DE RIO GRANDE",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "00745",
"telephone_number": "787-887-7281",
"fax_number": "787-888-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "NELSON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL",
"identifier": "041910",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "42292PE",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NELSON",
"last_name": "PEREZ",
"middle_name": "A.",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rio Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.