Individual provider Active NPI

Ivette Maria Perez

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1306013883
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17,145 Issued in PR
Practice address
113 Jard de Aguadilla
Aguadilla, PR 00603-5807
Phone
(787) 891-3926
NPI assigned
May 13, 2008
Last updated
May 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17,145 PR Primary

Addresses

Primary practice location

113 Jard de Aguadilla
Aguadilla, PR 00603-5807

Mailing address

113 Jard de Aguadilla
Aguadilla, PR 00603-5807
Phone (787) 891-3926

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
I20080724000121 PR Practitioner - General PracticePractitioner - General Surgery 1153494125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camuy Health Services, Inc.Group PAC ID 3072559301, 19 clinicians

Practice addresses (Care Compare)

63 Ave Munoz Rivera E
Camuy, PR 00627-2630
Phone 7878982660246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17,145PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camuy Health Services, Inc. CurrentSince Oct 15, 2023 Accepting new patients
Camuy Health Services, Inc. General Practice CurrentSince Oct 15, 2023 Accepting new patients
Rincon Medical Center Past Accepting new patients

Locations

63 Ave Munoz Rivera E
Camuy, PR 00627
Phone (787) 262-6603

Organizations & group practices 3

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1306013883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 JARD DE AGUADILLA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035807",
            "telephone_number": "787-891-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 JARD DE AGUADILLA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035807",
            "telephone_number": "787-891-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "IVETTE",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17,145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.