Active NPI
Jean Anfernee Perez Verdejo
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1083352991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17519
- Practice address
- Area Centro Medico Rio Piedras
Bayamon, PR 00921 - Phone
- (787) 758-2525
- NPI assigned
- May 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 17519 | PR | Primary |
Addresses
Primary practice location
Area Centro Medico Rio Piedras
Bayamon, PR 00921
Mailing address
643 Calle Felipe Gutierrez
San Juan, PR 00924-2108
Phone (787) 394-9781
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 |
|---|---|---|---|
| 17519 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1083352991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 CALLE FELIPE GUTIERREZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009242108",
"telephone_number": "787-394-9781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AREA CENTRO MEDICO RIO PIEDRAS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-758-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ VERDEJO",
"first_name": "JEAN",
"middle_name": "ANFERNEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "PR",
"license": "17519",
"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 Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.