Active NPI
Juan Enrique Perez-Monte, M.D.
- Specialist
- Santurce, PR
National Provider Identifier
1104879428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12,871
- Practice address
- Edificio Betancourt Suite 302
Ave. Fernndez Juncos
Santurce, PR 00909 - Phone
- (787) 727-2738
- Fax
- (787) 728-4799
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 12,871 | PR | Primary |
Addresses
Primary practice location
Edificio Betancourt Suite 302
Ave. Fernndez Juncos
Santurce, PR 00909
Mailing address
Urb. Villa de Torrimar
Calle Reina Isabel # 175
Guaynabo, PR 00969
Phone (787) 640-9021
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050516000766 | PR | Practitioner - Diagnostic Radiology | 4587605951 | Practice locations: Santurce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12871 | PR | MD | Social Worker |
| 12,871 | PR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somascan Plaza Inc | Past | Accepting new patients | |
| Bayamon SMH Corporation | Past | Accepting new patients | |
| Diagnostic Imaging Center, PSC | Past | 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 and National Provider Directory roles.
-
- Radiology Clinic/Center
- San Juan, PR
- NPI 1912905506
-
- Radiology Clinic/Center
- San Juan, PR
- NPI 1356304505
-
- Body Imaging Physician
- San Juan, PR
- NPI 1356408991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104879428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. VILLA DE TORRIMAR",
"address_2": "CALLE REINA ISABEL # 175",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-640-9021",
"fax_number": "787-801-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIFICIO BETANCOURT SUITE 302",
"address_2": "AVE. FERNNDEZ JUNCOS",
"city": "SANTURCE",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-727-2738",
"fax_number": "787-728-4799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-MONTE",
"first_name": "JUAN",
"middle_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "12,871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santurce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.