Individual provider Active NPI

Hector M Perez, O.D.

  • Optometrist
  • Fort Buchanan, PR
National Provider Identifier
1255412250
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
250 Issued in PR
Practice address
BLDG 689
Fort Buchanan, PR 00934-0461
Phone
(787) 781-6721
Fax
(787) 781-6758
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 250 PR Primary

Addresses

Primary practice location

BLDG 689
Fort Buchanan, PR 00934-0461

Mailing address

PO Box 34461
Fort Buchanan
Fort Buchanan, PR 00934-0461
Phone (787) 781-6721

Other identifiers 1

IdentifierTypeStateIssuer
83768OtherPRTRIPLE S INSURANCE CO

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909000978 PR Practitioner - Optometry 8426024449 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J&F Optical Service Incorporated Optometrist CurrentSince May 1, 2024 Accepting new patients
Optik Optometry Group Optometrist PastSince May 1, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255412250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34461",
            "address_2": "FORT BUCHANAN",
            "city": "FORT BUCHANAN",
            "state": "PR",
            "postal_code": "009340461",
            "telephone_number": "787-781-6721",
            "fax_number": "787-781-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 689",
            "city": "FORT BUCHANAN",
            "state": "PR",
            "postal_code": "009340461",
            "telephone_number": "787-781-6721",
            "fax_number": "787-781-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "HECTOR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S INSURANCE CO",
            "identifier": "83768",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Buchanan, PR

Sources for this page

Verify at the official NPI Registry.