Active NPI
Jesus A. Cebollero-Perez, M.D.
- Pediatrics Physician
- San Sebastian, PR
National Provider Identifier
1245230986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 6334
- Practice address
- Calle MJ Cabrero 66 Altos
San Sebastian, PR 00685-1610 - Phone
- (787) 896-9052
- Fax
- (787) 896-9052
- NPI assigned
- Jul 22, 2005
- Last updated
- Apr 20, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6334 | PR | Primary |
Addresses
Primary practice location
Calle MJ Cabrero 66 Altos
San Sebastian, PR 00685-1610
Mailing address
PO Box 1610
San Sebastian, PR 00685-1610
Phone (787) 896-9052
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160404001577 | PR | Order and Referring Only - Pediatric Medicine | 9537466644 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6334 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1245230986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1610",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006851610",
"telephone_number": "787-896-9052",
"fax_number": "787-896-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE MJ CABRERO 66 ALTOS",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006851610",
"telephone_number": "787-896-9052",
"fax_number": "787-896-9052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEBOLLERO-PEREZ",
"first_name": "JESUS",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "6334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Sebastian, PR
- Grissel I Acaba Carrion, LCDA
- Sonya Castellanos, MD
- Miguel Adolfo Castro, PHARM.D.
- Xiomary Z Castro
- Arlene Ceballo, PHYISICAL THERAPIST
- Centro Clinico Sheilia, Inc
- Centro de Balance Emocional LLC
- Centro de Diagnostico Y Tratamiento de San Sebastian Inc (Grupo Radiologico Centro Medicina)
- Centro de Diagnostico Y Tratamiento de San Sebastian Inc
- Centro de Diagnostico Y Tratamiento de San Sebastian Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.