Active NPI
Mileidys Perez Gutierrez, PA
- Medical Physician Assistant
- Caguas, PR
National Provider Identifier
1225656226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 000555-P.A.
- Practice address
- 201 Ave Gautier Benitez, Consolidated Medical Plaza
Suite 101
Caguas, PR 00725 - Phone
- (787) 744-5278
- NPI assigned
- Jul 7, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000555-P.A. | PR | Primary |
Addresses
Primary practice location
201 Ave Gautier Benitez, Consolidated Medical Plaza
Suite 101
Caguas, PR 00725
Mailing address
201 Ave Gautier Benitez, Consolidated Medical Plaza
Suite 101
Caguas, PR 00725
Phone (787) 744-5278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000555-P.A. | PR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuscan CSP | Past | 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.
-
- Nuclear Medicine Physician
- Caguas, PR
- NPI 1275630527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1225656226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 AVE GAUTIER BENITEZ, CONSOLIDATED MEDICAL PLAZA",
"address_2": "SUITE 101",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-744-5278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 AVE GAUTIER BENITEZ, CONSOLIDATED MEDICAL PLAZA",
"address_2": "SUITE 101",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-744-5278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ GUTIERREZ",
"first_name": "MILEIDYS",
"name_prefix": "Dr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "000555-P.A.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.