Ivan O Perez Rivera

Primary specialty

SpecialistTaxonomy code 174400000X

License

14312 Issued in PR

Practice address

E15 Calle Dildo
Guaynabo, PR 00969-4707

Phone

(787) 258-2835

NPI assigned

Jun 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Primary Care Services LLC

  • Internal Medicine Physician
  • Guaynabo, PR
  • NPI 1801361167
  NPD Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1366645772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E15 CALLE DILDO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694707",
            "telephone_number": "787-258-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E15 CALLE DILDO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694707",
            "telephone_number": "787-258-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ RIVERA",
        "first_name": "IVAN",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "14312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14312",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perez Menendez Hnos. Inc.
• Pedro J Perez Montero, 0434B
• Jose Perez Pagan, 0636P
• Luis G. Perez Perez, M.D.
• Iris Noelia Perez Rivera
• Ivette Perez Rodriguez, 0408P
• Hermes Perez Torres, 1073P
• Karin Janet Perez Torres, MHS, C.A.T.IV
• Sheila Angelys Perez Torres, OD
• Perez Tossas Optometrist

• Specialist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.

Verify at the official NPI Registry.