Organization Active NPI

Centro Medico Perez PC

  • Family Medicine Physician
  • Corona, NY
National Provider Identifier
1174013551
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTRO MEDICO PEREZ PC
Practice address
10324 Roosevelt Ave Ste 306
Corona, NY 11368-1562
Phone
(347) 201-4567
NPI assigned
May 11, 2018
Last updated
May 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Authorized official

Name
Salvador Perez, MDNPI 1104024314
Title
President
Phone
(347) 201-4567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

10324 Roosevelt Ave Ste 306
Corona, NY 11368-1562

Mailing address

10324 Roosevelt Ave Ste 306
Corona, NY 11368-1562

National Provider Directory

National Provider Directory

Locations

10324 Roosevelt Ave
Ste 306
Corona, NY 11368
Phone (347) 201-4567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1174013551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324 ROOSEVELT AVE STE 306",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 ROOSEVELT AVE STE 306",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681562",
            "telephone_number": "347-201-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO PEREZ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-201-4567",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.