Individual provider Active NPI

Roberto Perez-Gutierrez, M.D.

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1225042393
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
8364 Issued in PR
Practice address
369 Calle de Diego
Suite 408, Torre San Francisco
San Juan, PR 00923-3003
Phone
(787) 767-4100
Fax
(787) 767-4119
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 8364 PR Primary

Addresses

Primary practice location

369 Calle de Diego
Suite 408, Torre San Francisco
San Juan, PR 00923-3003

Mailing address

Urb Montehiedra
113 Calle Guaraguao
San Juan, PR 00926-7101
Phone (787) 767-4100

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
I20070716000600 PR Practitioner - Cardiovascular Disease (Cardiology) 1951401249 Practice locations: Rio Piedras, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Puerto Rico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Suite 408 Torre San Francisco
369 De Diego Ave
Rio Piedras, PR 00923-0001
Phone (787) 767-4100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Cardiovascular de Carolina Cardiovascular Disease Past Accepting new patients
Centro Sononuclear de Rio Piedras PastSince Apr 2, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: roberto.perezgutierrez@3741.securemail.prognocis.com

Organizations & group practices 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1225042393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB MONTEHIEDRA",
            "address_2": "113 CALLE GUARAGUAO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267101",
            "telephone_number": "787-767-4100",
            "fax_number": "787-767-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO",
            "address_2": "SUITE 408, TORRE SAN FRANCISCO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233003",
            "telephone_number": "787-767-4100",
            "fax_number": "787-767-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-GUTIERREZ",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "8364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.