Individual provider Active NPI

Ismael Perez Naveira, MD

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1205560265
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23540 Issued in PR
Practice address
100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone
(787) 672-3448
NPI assigned
Jul 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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 23540 PR Primary

Addresses

Primary practice location

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184

Mailing address

HC 2 Box 13493
Humacao, PR 00791-9364
Phone (787) 672-3448

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
I20240620001580 PR Practitioner - General Practice 1254874167 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp CurrentSince Apr 6, 2024 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Apr 6, 2024 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1205560265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 13493",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007919364",
            "telephone_number": "787-672-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256184",
            "telephone_number": "787-672-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ NAVEIRA",
        "first_name": "ISMAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.