Doctor Perez Medicina de Familia LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DOCTOR PEREZ MEDICINA DE FAMILIA LLC

Practice address

Reparto Metropolitano
Calle 42 SE 1010
San Juan, PR 00921

Phone

(787) 595-8337

Fax

(787) 754-9501

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gabriel J Perez- Lopez, MDNPI 1962990721

Title

President

Phone

(787) 396-1162

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabriel Jose Perez Lopez, MD

  • Family Medicine Physician
  • San Juan, PR
  • NPI 1962990721
  NPD Authorized official

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1235977794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REPARTO METROPOLITANO",
            "address_2": "CALLE 42 SE 1010",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-595-8337",
            "fax_number": "787-754-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REPARTO METROPOLITANO",
            "address_2": "CALLE 42 SE 1010",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-595-8337",
            "fax_number": "787-754-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR PEREZ MEDICINA DE FAMILIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ- LOPEZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-396-1162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.