Salvador Perez Medical P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

241980 Issued in NY

Legal business name

SALVADOR PEREZ MEDICAL P.C.

Practice address

100 05 Roosevelt Ave
Salvador Perez Medical P.C.
Corona, NY 11368

Phone

(646) 761-4774

NPI assigned

Mar 1, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Salvador Onesimo Perez, MDNPI 1104024314

Title

President

Phone

(646) 761-4774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Salvador O Perez, MD

  • Internal Medicine Physician
  • Corona, NY
  • NPI 1104024314
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1326312802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 05 ROOSEVELT AVE",
            "address_2": "SALVADOR PEREZ MEDICAL P.C.",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "11368",
            "telephone_number": "646-761-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 05 ROOSEVELT AVE",
            "address_2": "SALVADOR PEREZ MEDICAL P.C.",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "11368",
            "telephone_number": "646-761-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVADOR PEREZ MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_middle_name": "ONESIMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-761-4774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "241980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Saint Laurent, M.D.
• Christine Salazar, LCSW
• Nelly Salazar
• Salbardo Drugs, Inc
• Salbardo Drugs, Inc
• Sam Cosentino DDS PC
• Phillip Samayoa, MD
• San Isidro Ec Corp
• Niafel M Santos
• Vasiliki Sapokolos

• Primary Care Clinic/Center in Corona, NY
• Providers in Corona, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.