Jacqueline Esmeraldina Perez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12150 Issued in PR

Practice address

U-3-3,Carr21,Las Lomas
Suite-1
San Juan, PR 00921

Phone

(787) 781-3580

Fax

(787) 781-3535

NPI assigned

Jul 20, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245250471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 CALLE SANTA AGUEDA",
            "address_2": "C-8 LES CHALETS COURT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264135",
            "telephone_number": "787-550-0647",
            "fax_number": "787-753-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U-3-3,CARR21,LAS LOMAS",
            "address_2": "SUITE-1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-781-3580",
            "fax_number": "787-781-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JACQUELINE",
        "middle_name": "ESMERALDINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Jose Perez
• Euyen Latour Perez, M.D.
• Glenda Yariliz Perez, SLP
• Idelisse M Perez
• Ingrid M Perez
• Jesseber Perez
• Joalenny Perez, PSYD
• Jocelin Perez
• Josephine Vazquez Perez, ATO
• Juliana Perez, SLP

• General Practice Physician in San Juan, PR
• Providers in San Juan, 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 8, 2007; 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.