Individual provider Active NPI

Juan Enrique Perez-Monte, M.D.

  • Specialist
  • Santurce, PR
National Provider Identifier
1104879428
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12,871 Issued in PR
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050516000766 PR Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Internal Medicine 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12871PRMDSocial Worker
12,871PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.