Maria Lourdes Perez-de la Rosa, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48167 Issued in CA

Practice address

5132 N Fresno St
Fresno, CA 93710-6826

Phone

(559) 226-5700

Fax

(559) 226-0774

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Maria Lourdes Perez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: maria.de.la.rosa.1@17661.direct.athenahealth.com

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1144389164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106826",
            "telephone_number": "559-226-5700",
            "fax_number": "559-226-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106826",
            "telephone_number": "559-226-5700",
            "fax_number": "559-226-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-DE LA ROSA",
        "first_name": "MARIA",
        "middle_name": "LOURDES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "PEREZ",
            "middle_name": "LOURDES",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mayra Guadalupe Perez Nunez
• Kimberly Crystal Perez Reyes
• Amanda Perez Rojas
• Kassandra Perez Vasquez
• Cindy D Perez-Bonilla
• Yazmin Yadira Perez-Herrera
• David Perez-Sanchez
• Jacob Norwood Perez-Stringer, MD
• Matthew Perez-Stringer
• Alejandra H Perez

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.