Individual provider Active NPI

Nelson R Valerio Perez, MD

  • Specialist
  • Santurce, PR
National Provider Identifier
1346451622
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4002 Issued in PR
Practice address
312 Ave de Diego
Suite 504
Santurce, PR 00909-1756
Phone
(787) 641-4517
Fax
(787) 641-4518
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4002 PR Primary

Addresses

Primary practice location

312 Ave de Diego
Suite 504
Santurce, PR 00909-1756

Mailing address

380 Via Versalles
Guaynabo, PR 00969-5340
Phone (787) 731-1127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4002PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346451622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 VIA VERSALLES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695340",
            "telephone_number": "787-731-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 AVE DE DIEGO",
            "address_2": "SUITE 504",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009091756",
            "telephone_number": "787-641-4517",
            "fax_number": "787-641-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIO PEREZ",
        "first_name": "NELSON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "4002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.