Individual provider Active NPI

Gil Angel Hermida Perez, MD

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1205837564
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12833 Issued in PR
Practice address
8169 Calle Concordia, of. 309
Cond. San Vicente
Ponce, PR 00717-1563
Phone
(787) 843-8554
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12833 PR Primary

Addresses

Primary practice location

8169 Calle Concordia, of. 309
Cond. San Vicente
Ponce, PR 00717-1563

Mailing address

2007 Calle Extremadura
Urb la Rambla
Ponce, PR 00730-4079
Phone (787) 842-7683

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
I20040930000610 PR Practitioner - Internal Medicine 6305815838 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8169 Calle Concordia Cond San Vicente
Suite 109
Ponce, PR 00717-1558
Phone (787) 843-8554

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12833PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Internal Medicine Group, Inc. Internal Medicine PastSince Sep 19, 2013 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205837564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 CALLE EXTREMADURA",
            "address_2": "URB LA RAMBLA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304079",
            "telephone_number": "787-842-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA, OF. 309",
            "address_2": "COND. SAN VICENTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171563",
            "telephone_number": "787-843-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMIDA PEREZ",
        "first_name": "GIL",
        "middle_name": "ANGEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.