Individual provider Active NPI

Carlos Ismael Perez Naveira, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1043990716
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23467 Issued in PR
Practice address
2435 Blvd Luis a Ferre
Ponce, PR 00717-2112
Phone
(787) 599-2660
NPI assigned
Jul 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 23467 PR Primary

Addresses

Primary practice location

2435 Blvd Luis a Ferre
Ponce, PR 00717-2112

Mailing address

HC 2 Box 13493
Humacao, PR 00791-9364
Phone (787) 599-2660

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
I20240514003436 PR Practitioner - General Practice 2163863788 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23467PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. CurrentSince Mar 2, 2024 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Mar 2, 2024 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1043990716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 13493",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007919364",
            "telephone_number": "787-599-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 BLVD LUIS A FERRE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172112",
            "telephone_number": "787-599-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ NAVEIRA",
        "first_name": "CARLOS",
        "middle_name": "ISMAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-01-15",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.