Individual provider Active NPI

Juan Ignacio Perez, M.D.

  • Ophthalmology Physician
  • Manati, PR
National Provider Identifier
1174698567
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
8342 Issued in PR
Practice address
200 Carr 2 Torre Medica I Pedro Blanco Lugo
Suite 210
Manati, PR 00674-4661
Phone
(787) 854-5752
Fax
(787) 884-6619
NPI assigned
Nov 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 8342 PR Primary

Addresses

Primary practice location

200 Carr 2 Torre Medica I Pedro Blanco Lugo
Suite 210
Manati, PR 00674-4661

Mailing address

PO Box 994
Manati, PR 00674-0994
Phone (787) 854-5752

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
I20040602000615 PR Practitioner - Ophthalmology 4789666959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oftalmologos Asociados del Norte CRLGroup PAC ID 4789666843, 4 clinicians

Practice addresses (Care Compare)

200 Carr
Suite 2
Manati, PR 00674-4863
Phone (787) 854-5752

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oftalmologos Asociados del Norte CRL Ophthalmology CurrentSince Jan 1, 2001 Accepting new patients

Locations

200 Carr 2
Ste 210
Manati, PR 00674
Phone (787) 854-5752

J20 Calle Elliot Velez
Manati, PR 00674
Phone (787) 854-5752

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174698567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740994",
            "telephone_number": "787-854-5752",
            "fax_number": "787-884-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARR 2 TORRE MEDICA I PEDRO BLANCO LUGO",
            "address_2": "SUITE 210",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744661",
            "telephone_number": "787-854-5752",
            "fax_number": "787-884-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JUAN",
        "middle_name": "IGNACIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "8342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.