Pedro Luis Pereira-Ruiz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2639 Issued in PR

Practice address

BH12 Calle 110
Valle Arriba Heights
Carolina, PR 00983-3309

Phone

(787) 768-3500

NPI assigned

Feb 27, 2006

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pereira and Associates PSC

  • Dentist
  • Carolina, PR
  • NPI 1265622914
  NPD (past) Authorized official

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376519595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1902",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009841902",
            "telephone_number": "787-565-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BH12 CALLE 110",
            "address_2": "VALLE ARRIBA HEIGHTS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009833309",
            "telephone_number": "787-768-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA-RUIZ",
        "first_name": "PEDRO",
        "middle_name": "LUIS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zulma Carolina Pena Cordero, RN,BSN,SRNA
• Irma I Pena Ortiz, M.D.
• Astrid Pena
• Pereira and Associates PSC
• Ricardo Pereira-Diaz, PHARM.D.
• Marilyn Pereira
• Eileen Michelle Perez Chiques, CPM
• Edda E Perez Delgado
• Nilda Perez Flores, MD
• Jessica Marie Perez Gonzalez, PSY D.

• General Practice Dentistry in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.