Active NPI
Jose M Perez Garcia, M.D.
- Specialist
- Barceloneta, PR
National Provider Identifier
1356351407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11693
- Practice address
- 10 Calle Georgetti
Barceloneta, PR 00617-2714 - Phone
- (787) 970-0707
- NPI assigned
- Aug 9, 2006
- Last updated
- Apr 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11693 | PR | Primary |
Addresses
Primary practice location
10 Calle Georgetti
Barceloneta, PR 00617-2714
Mailing address
P.O. Box 140461
Arecibo, PR 00614
Phone (787) 970-0707
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3033-5-5025 | Other | PR | ASOCIACION MAESTROS |
| 212604 | Other | PR | PREFERRED HEALTH |
| 211693 | Other | PR | CIGNA |
| 8736 | Other | PR | INTERNATIONAL MEDICAL |
| 02498 | Other | PR | AMERICAN HEALTH |
| 060156 | Other | PR | CRUZ AZUL |
| 100079 | Other | PR | MMM |
| 6170027 | Other | PR | HUMANA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110413000814 | PR | Practitioner - Internal Medicine | 6507040631 | Practice locations: Barceloneta, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10 Calle Georgetti
Barceloneta, PR 00617-2714
Phone (787) 862-4124
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instituto Medico del Norte Inc | Past | Accepting new patients | |
| Dorado Health Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Centro Medico Wilma N Vazquez
- General Acute Care Hospital
- Vega Baja, PR
- NPI 1154309169
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Manati, PR
- NPI 1659364248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1356351407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 140461",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00614",
"telephone_number": "787-970-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE GEORGETTI",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "006172714",
"telephone_number": "787-970-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ GARCIA",
"first_name": "JOSE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "11693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASOCIACION MAESTROS",
"identifier": "3033-5-5025",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "212604",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "211693",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL",
"identifier": "8736",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH",
"identifier": "02498",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "060156",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "100079",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "6170027",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barceloneta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.