Active NPI
Maria Victoria Perez Manon, MD
- General Practice Physician
- Juana Diaz, PR
National Provider Identifier
1194322784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 22027
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Damas Inc | Current | Accepting new patients | |
| Southern Anesthesia Associates LLC | Current | Accepting new patients | |
| Hospital Menonita Ponce Inc | General Practice | Current | 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.
-
- Specialist
- Ponce, PR
- NPI 1336120153
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.