Monica L Portalatin Perez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17345 Issued in PR

Practice address

Policlinica Familiar del Sur
Ponce Mall- Suite 15 Carr 2 KM 225.8
Ponce, PR 00731

Phone

(787) 840-8500

Fax

(787) 840-8500

NPI assigned

Apr 20, 2009

Sex

Female

Sole proprietor

No

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

General Practice

Education

University Central del Caribe Escuela de Medicina, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1366685448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SAN JOSE 309",
            "address_2": "CALLE FRANCISCO PALAU",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281908",
            "telephone_number": "787-842-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POLICLINICA FAMILIAR DEL SUR",
            "address_2": "PONCE MALL- SUITE 15 CARR 2 KM 225.8",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-840-8500",
            "fax_number": "787-840-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTALATIN PEREZ",
        "first_name": "MONICA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "17,345",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iris Heidsha Pons Cruz, BCBA
• Norielys Pons Ruiz, BCBA
• Jose I Pons, PH.D.
• Lyan Marie Porrata, PHARMD
• Nestor Xavier Portalatin Luiggi, PSYD
• Natalia Portalatin, PH. D.
• Gabriela Margarita Portilla Skerrett
• Ariel Portilla, MD
• Jose M Pou-Pacheco, M.D.
• Frances Poventud

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.