Dr Edward a Perez, BS, DC PSC
Organization Active NPI Chiropractor · Hormigueros, PR
NPI 1336770304 · NPPES record last updated Jan 29, 2020
Key facts
- NPI
- 1336770304
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- DR EDWARD A PEREZ, BS, DC PSC
- Practice address
- Plaza Constancia, Suite 104
Hormigueros, PR 00660 - Phone
- (787) 602-9522
- NPI assigned
- Jan 29, 2020
- Organization subpart
- No
Authorized official
- Name
- Mrs. Frances A Matos
- Title
- Administrator
- Phone
- (939) 717-9601
Practitioners 2
-
Edward A Perez, B.S., D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200326000522 | PR | Part B Supplier - Clinic/Group Practice | 4981033982 |
Receives reassigned benefits from 2 practitioners Practice locations: Hormigueros, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
Plaza Constancia, Suite 104
Hormigueros, PR 00660
Mailing address
Plaza Constancia, Suite 104
Hormigueros, PR 00660
Phone (787) 602-9522
Other providers in Hormigueros, PR
- Luz M De la Cruz Cordero
- Celia Alejandra Delgado Tamariz
- Carlos M Delgado
- Hector Luis Diaz
- Luis O Diaz
- Dr. Francisco F. Noel Irizarry, C.S.P.
- Dra. Yolanda Casiano Quiles LLC
- Jose Angel Duran Galarza
- Yamilet Escabi
- Evyflor Espinosa
All providers in Hormigueros, PR · Chiropractor in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.