Active NPI
Yadira Eileen Perez, DMD
- General Practice Dentistry
- Santurce, PR
National Provider Identifier
1083627889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2453
- Practice address
- 1607 Ave Ponce de Leon
Suite LM 21
Santurce, PR 00909-1820 - Phone
- (787) 721-0887
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2453 | PR | Primary |
Addresses
Primary practice location
1607 Ave Ponce de Leon
Suite LM 21
Santurce, PR 00909-1820
Mailing address
Ex1 Calle Ensenada
El Alamo
Guaynabo, PR 00969-4511
Phone (787) 721-0887
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2453 | PR | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083627889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EX1 CALLE ENSENADA",
"address_2": "EL ALAMO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694511",
"telephone_number": "787-721-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 AVE PONCE DE LEON",
"address_2": "SUITE LM 21",
"city": "SANTURCE",
"state": "PR",
"postal_code": "009091820",
"telephone_number": "787-721-0887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "YADIRA",
"middle_name": "EILEEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "2453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santurce, PR
- Rosamari Pena, PSY.D.
- Victor Luis Perez Labiosa, M.D.
- Coralee Perez Pedrogo, PH.D.
- Manuel R. Perez-Gonzalez, MD
- Juan Enrique Perez-Monte, M.D.
- Jose Rafael Pesquera-Garcia, M.D.
- Phalanx Orthopedic Real Estate
- PMC Marketing Corp (Farmacia El Amal # 9)
- PMC Marketing Corp (Farmacia El Amal # 44)
- Podiatry Center, PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.