Individual provider Active NPI

Dennys Rivera Perez

  • Anesthesiology Physician
  • San Juan, PR
National Provider Identifier
1164923363
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
23774 Issued in PR
Practice address
1156 Calle 62 SE
San Juan, PR 00921-2724
Phone
(787) 758-2525
NPI assigned
Feb 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 23774 PR Primary

Addresses

Primary practice location

1156 Calle 62 SE
San Juan, PR 00921-2724

Mailing address

5S6 Calle Parque Asturias
Urb Villa Fontana Park
Carolina, PR 00983
Phone (787) 342-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240606001732 MI Practitioner - Anesthesiology 4688116544 Reassigns benefits to 1 organization
I20251003004169 PR Practitioner - Anesthesiology 4688116544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Puerto Rico School of Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 29134
San Juan, PR 00929

Urb Villa Fontana Park
Calle Parque Asturias 5S6
Carolina, PR 00983

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23774PRMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Northstar Anesthesia of Michigan PLLC Anesthesiology CurrentSince May 30, 2024 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Aug 1, 2025 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

4100 John R St
#A
Detroit, MI 48201

Centro Medico De Puerto Ri
San Juan, PR 00935

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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1164923363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5S6 CALLE PARQUE ASTURIAS",
            "address_2": "URB VILLA FONTANA PARK",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-342-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 CALLE 62 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212724",
            "telephone_number": "787-758-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA PEREZ",
        "first_name": "DENNYS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-22",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "23774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.