Dr. Omar J Perez Jimenez Gastroenterologo CSP

Primary specialty

SpecialistTaxonomy code 174400000X

License

13234 Issued in PR

Legal business name

DR. OMAR J PEREZ JIMENEZ GASTROENTEROLOGO CSP

Practice address

351 Ave Hostos Ste 202
Mayaguez, PR 00680-1503

Phone

(787) 805-5610

Fax

(787) 805-5670

NPI assigned

Aug 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Omar J Perez, MD

Title

Owner

Phone

(787) 805-5610

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omar Javier Perez Jimenez, M.D.

  • Gastroenterology Physician
  • Mayaguez, PR
  • NPI 1891795381
  Medicare reassignment NPD
• Steven Roman Gonzalez, MD

  • Internal Medicine Physician
  • San Sebastian, PR
  • NPI 1386712230
  NPD
• Sara R Roman Troche, MD

  • General Practice Physician
  • San Sebastian, PR
  • NPI 1225769680
  NPD
• Michael Babilonia Roman, M.D.

  • Rheumatology Physician
  • Mayaguez, PR
  • NPI 1720088057
  NPD (past)
• Betzaida Garcia, LND, DE, MA

  • Nutrition Education Nutritionist
  • Mayaguez, PR
  • NPI 1043580327
  NPD (past)
• Humberto N Olivencia, M.D.

  • Internal Medicine Physician
  • Mayaguez, PR
  • NPI 1346246865
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063528859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS STE 202",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801503",
            "telephone_number": "787-805-5610",
            "fax_number": "787-805-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS STE 202",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801503",
            "telephone_number": "787-805-5610",
            "fax_number": "787-805-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. OMAR J PEREZ JIMENEZ GASTROENTEROLOGO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-805-5610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "13234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Edgar Perez Dental Office PSC
• Dr. Eduardo a. Martinez Dba
• Dr. Jansen Colberg Oftalmologo CSP
• Dr. Luis Daniel Camacho C.S.P.
• Dr. Norberto Ortiz Castro
• Dr. Pedro J Fernandez CSP
• Dr. Radames Tirado, PSC
• Dr.Oscar Muniz Luciano Maxillofacial Surgery PSC
• Dra Barbara Rysz Ginecologa- Obstetra CSP
• Dra Betsy Ruiz Placido CSP

• Specialist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.