Individual provider Active NPI

Angel G. Guerrero Perez, MD

  • General Practice Physician
  • Morovis, PR
National Provider Identifier
1366118697
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23078 Issued in PR
Practice address
#2 Carr Patron, Morovis, 00687
Morovis, PR 00687
Phone
(787) 862-3000
NPI assigned
Aug 17, 2021
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23078 PR Primary

Addresses

Primary practice location

#2 Carr Patron, Morovis, 00687
Morovis, PR 00687

Mailing address

1005 Calle Camino Verde, Urb. Camino del Sol
Vega Baja, PR 00693-3671
Phone (939) 460-1401

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
I20230411002227 PR Practitioner - General Practice 6709251614 Reassigns benefits to 4 organizations
Practice locations: Vega Baja, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morovis Community Health Center, Inc. Current Accepting new patients
Morovis Community Health Center, Inc. General Practice CurrentSince Mar 1, 2023 Accepting new patients
Morovis Community Health Center, Inc. CurrentSince Mar 1, 2023 Accepting new patients
GR Medical Group LLC General Practice CurrentSince Jan 19, 2026 Accepting new patients

Locations

2 Calle Patron
Morovis, PR 00687
Phone (787) 862-3667

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1366118697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 CALLE CAMINO VERDE, URB. CAMINO DEL SOL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933671",
            "telephone_number": "939-460-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#2 CARR PATRON, MOROVIS, 00687",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "00687",
            "telephone_number": "787-862-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO PEREZ",
        "first_name": "ANGEL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morovis, PR

Sources for this page

Verify at the official NPI Registry.