Elba Antoinette Perez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13348 Issued in PR

Practice address

Expreso Trujillo Alto KM 4.4
San Miguel Medical - Suite 204 Plaza San Miguel
Trujillo Alto, PR 00976

Phone

(787) 748-7120

Fax

(787) 748-7105

NPI assigned

Jul 15, 2005

Last updated

Jul 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1124027859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193868",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193868",
            "telephone_number": "787-748-7120",
            "fax_number": "787-748-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXPRESO TRUJILLO ALTO KM 4.4",
            "address_2": "SAN MIGUEL MEDICAL - SUITE 204 PLAZA SAN MIGUEL",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-748-7120",
            "fax_number": "787-748-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ELBA",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S, INC",
            "identifier": "84345",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEATHCARE",
            "identifier": "500350",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH CARE",
            "identifier": "9760040",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "13348",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Perez Chiesa, M.D.
• Lewis R Perez Gomez
• Perez- Betancourt Medical, P.S.C
• Aracelis Perez
• Awilda Perez
• Jose G Perez, M.A.
• Juan Miguel Perez
• Maria I Perez
• Mirsonia L Perez, PH
• Pharmacare, Inc. (Farmacia Rey #17)

• General Practice Physician in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2025; 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.

Verify at the official NPI Registry.