Individual provider Active NPI

Maria Victoria Perez Manon, MD

  • General Practice Physician
  • Juana Diaz, PR
National Provider Identifier
1194322784
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22027 Issued in PR
Practice address
Calle la Cruz #6
Juana Diaz, PR 00795-2430
Phone
(787) 837-2265
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22027 PR Primary

Addresses

Primary practice location

Calle la Cruz #6
Juana Diaz, PR 00795-2430

Mailing address

9121 Comunidad Serrano
Juana Diaz, PR 00795-9411
Phone (787) 321-7269

Other practice location 1

Calle Acerola
Coto Laurel
Ponce, PR 00780
Phone (787) 848-2100

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
I20210916003458 PR Practitioner - General Practice 8527465509 Reassigns benefits to 2 organizations
Practice locations: Juana Diaz, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Damas Inc CurrentSince Feb 1, 2024 Accepting new patients
Southern Anesthesia Associates LLC Current Accepting new patients
Hospital Menonita Ponce Inc General Practice CurrentSince Dec 31, 2025 Accepting new patients

Locations

6 Calle La Cruz
Juana Diaz, PR 00795
Phone (787) 837-2265

2213 Ponce Byp
Ponce, PR 00717
Phone (787) 368-7802

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1194322784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 COMUNIDAD SERRANO",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959411",
            "telephone_number": "787-321-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LA CRUZ #6",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007952430",
            "telephone_number": "787-837-2265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Acerola",
            "address_2": "Coto Laurel",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00780",
            "country_code": "US",
            "telephone_number": "787-848-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ MANON",
        "first_name": "MARIA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.