Individual provider Active NPI

Vanessa Solis Perez, MD

  • General Practice Physician
  • Guaynabo, PR
National Provider Identifier
1316568827
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22073 Issued in PR
Practice address
Metro Office Park 6 Suite 202 Street 2
Guaynabo, PR 00968
Phone
(787) 999-0753
NPI assigned
May 6, 2020
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 22073 PR Primary

Addresses

Primary practice location

Metro Office Park 6 Suite 202 Street 2
Guaynabo, PR 00968

Mailing address

PO Box 8719
Ponce, PR 00732-8719
Phone (787) 235-0183

Other practice location 1

Calle Luis Munoz Rivera
Villalba, PR 00766
Phone (787) 847-3000

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
I20210506001906 PR Practitioner - General Practice 2961811724 Reassigns benefits to 1 organization
Practice locations: Carolina, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22073PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Puerto Rico, P.S.C CurrentSince Jan 14, 2021 Accepting new patients

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, 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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1316568827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8719",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328719",
            "telephone_number": "787-235-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METRO OFFICE PARK 6 SUITE 202 STREET 2",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-999-0753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Luis Munoz Rivera",
            "address_purpose": "LOCATION",
            "city": "Villalba",
            "state": "PR",
            "postal_code": "00766",
            "country_code": "US",
            "telephone_number": "787-847-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLIS PEREZ",
        "first_name": "VANESSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2021-04-07",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.