Individual provider Active NPI

Frank Reinaldo Perez Nogueira, M.D.

  • General Practice Physician
  • San German, PR
National Provider Identifier
1154100139
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
024234 Issued in PR
Practice address
#8 C. Luz Celenia Tirado
San German, PR 00683
Phone
(877) 892-5300
NPI assigned
Sep 27, 2023
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2143-P.A PR
General Practice Physician 208D00000X 024234 PR Primary
Surgical Assistant 246ZC0007X 23457 WI

Addresses

Primary practice location

#8 C. Luz Celenia Tirado
San German, PR 00683

Mailing address

#8C Luz Celeniatirado
San German, PR 00683
Phone (877) 892-5300

Other practice location 1

18500 Katy Fwy
Houston, TX 77094-1110
Phone (346) 318-9804

Other names 1

  • Frank Reinaldo Perez Nogueira Professional name

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
I20250424003868 PR Practitioner - General Practice 8022534700 Reassigns benefits to 1 organization
Practice locations: San German, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23457WIMDDiagnostic Radiology Physician
024234PRMDGeneral Practice Physician
2143-P.APRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Medical Emergency Group P.S.C. Single Specialty CurrentSince Mar 24, 2025 Accepting new patients

Locations

917 Ave Tito Castro
Ponce, PR 00716
Phone (787) 560-4314

8 Calle Javilla
San German, PR 00683
Phone (787) 892-2880

100 Grand Paseo Blvd
Ste 112
San Juan, PR 00926
Phone (787) 708-0138

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1154100139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#8C LUZ CELENIATIRADO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "877-892-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#8 C. LUZ CELENIA TIRADO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "877-892-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18500 Katy Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770941110",
            "country_code": "US",
            "telephone_number": "346-318-9804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ NOGUEIRA",
        "first_name": "FRANK",
        "middle_name": "REINALDO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-27",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2143-P.A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "024234",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "23457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANK",
            "last_name": "PEREZ NOGUEIRA",
            "middle_name": "REINALDO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.