Individual provider Active NPI

Johnny H Perez-Sanchez, MD

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1245347111
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12094 Issued in PR
Practice address
1669 Ave Americo Miranda
Urb Las Lomas
San Juan, PR 00921-2429
Phone
(787) 706-1344
Fax
(787) 793-2308
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12094 PR Primary

Addresses

Primary practice location

1669 Ave Americo Miranda
Urb Las Lomas
San Juan, PR 00921-2429

Mailing address

PO Box 71325
Suite 164
San Juan, PR 00936-8425
Phone (787) 706-1344

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
I20050104000005 PR Practitioner - Internal Medicine 9931167228 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1669 Ave Americo Miranda
San Juan, PR 00921-2429
Phone (787) 706-1344

Ave Americo Miranda
1669 Urb Las Lomas
San Juan, PR 00921-2429

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cme&Lee Associates CSP CurrentSince Nov 5, 2012 Accepting new patients

Locations

1669 Ave Americo Miranda
San Juan, PR 00921
Phone (787) 706-1344

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1245347111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71325",
            "address_2": "SUITE 164",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368425",
            "telephone_number": "787-706-1344",
            "fax_number": "787-793-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 AVE AMERICO MIRANDA",
            "address_2": "URB LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212429",
            "telephone_number": "787-706-1344",
            "fax_number": "787-793-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-SANCHEZ",
        "first_name": "JOHNNY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.