Magaly Bracero Perez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14805 Issued in PR

Practice address

33 Calle Munoz Rivera
Suite 2
Cabo Rojo, PR 00623-3538

Phone

(787) 851-6407

Fax

(787) 851-6407

NPI assigned

Nov 29, 2005

Last updated

Jul 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

General Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Primary MD Services LLC

  • General Practice Physician
  • Cabo Rojo, PR
  • NPI 1598330607
  Medicare reassignment NPD

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1215910823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230882",
            "telephone_number": "787-851-6407",
            "fax_number": "787-851-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALLE MUNOZ RIVERA",
            "address_2": "SUITE 2",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233538",
            "telephone_number": "787-851-6407",
            "fax_number": "787-851-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACERO PEREZ",
        "first_name": "MAGALY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSBV",
            "identifier": "14805",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6230123",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "A499",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edrick Beltran Feliciano, MD
• Carla Beras Aulet, MD
• Juan Carlos Bidot Jr., DC
• Arlene I Bonet-Camacho
• Bryan Beltran Bonilla Quimi
• Noemi M Brau
• Broad Spectrum Health LLC
• C.a. Group Services LLC (C.A. Group Services LLC - Cabo Rojo)
• Sven Joel Cabassa Caban
• Cabo Rojo Ambulance Service

• General Practice Physician in Cabo Rojo, PR
• Providers in Cabo Rojo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.