Individual provider Active NPI

Marlene Yaritza Perez, M.D

  • Family Medicine Physician
  • Carolina, PR
National Provider Identifier
1326081472
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13944 Issued in PR
Practice address
G22 Calle Monte Alegre
Urb. Lomas de Carolina
Carolina, PR 00987-8015
Phone
(787) 762-1444
NPI assigned
Jun 14, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13944 PR Primary

Addresses

Primary practice location

G22 Calle Monte Alegre
Urb. Lomas de Carolina
Carolina, PR 00987-8015

Mailing address

G22 Calle Monte Alegre
Urb. Lomas de Carolina
Carolina, PR 00987-8015
Phone (787) 762-1444

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
I20051013000353 PR Practitioner - Family Practice 3072538529 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

773 Avenida Campo Rico
San Juan, PR 00924

Ave Campo Rico
Suite 773
San Juan, PR 00924
Phone (787) 762-7390

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13944PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326081472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G22 CALLE MONTE ALEGRE",
            "address_2": "URB. LOMAS DE CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878015",
            "telephone_number": "787-762-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G22 CALLE MONTE ALEGRE",
            "address_2": "URB. LOMAS DE CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878015",
            "telephone_number": "787-762-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARLENE",
        "middle_name": "YARITZA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "13944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.