Individual provider Active NPI

Gilda B Perez Moreno, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1073575833
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15583 Issued in PR
Practice address
RR 1 Calle 12
Suite 3 Barrio Cana
Bayamon, PR 00957-6245
Phone
(787) 649-9348
Fax
(787) 268-7237
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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 15583 PR Primary

Addresses

Primary practice location

RR 1 Calle 12
Suite 3 Barrio Cana
Bayamon, PR 00957-6245

Mailing address

74 Calle Venus
Piso 2 Urb. Atlantic View
Carolina, PR 00979-4805
Phone (787) 649-9348

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1073575833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 CALLE VENUS",
            "address_2": "PISO 2 URB. ATLANTIC VIEW",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794805",
            "telephone_number": "787-649-9348",
            "fax_number": "787-268-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 CALLE 12",
            "address_2": "SUITE 3 BARRIO CANA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009576245",
            "telephone_number": "787-649-9348",
            "fax_number": "787-268-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MORENO",
        "first_name": "GILDA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.