Individual provider Active NPI

Maria L Perez, M.D.

  • General Practice Physician
  • Fajardo, PR
National Provider Identifier
1396764056
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16028 Issued in PR
Practice address
52 Calle Celis Aguilera N
Fajardo, PR 00738-4811
Phone
(787) 860-4466
Fax
(787) 860-4466
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 16028 PR
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 16028 PR
General Practice Physician 208D00000X 16028 PR Primary

Addresses

Primary practice location

52 Calle Celis Aguilera N
Fajardo, PR 00738-4811

Mailing address

PO Box 70011
PMB 67
Fajardo, PR 00738-7011
Phone (787) 860-4466

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
I20060123000114 PR Practitioner - General Practice 9739103391 Practice locations: Fajardo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Celis Aguilera 52
Perez Curry Medical Office
Fajardo, PR 00738
Phone (787) 860-4466

Calle Celis Aguilera 52 Norte
Fajardo, PR 00738

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16028PRMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1396764056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70011",
            "address_2": "PMB 67",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007387011",
            "telephone_number": "787-860-4466",
            "fax_number": "787-860-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CALLE CELIS AGUILERA N",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384811",
            "telephone_number": "787-860-4466",
            "fax_number": "787-860-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PR",
            "license": "16028",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PR",
            "license": "16028",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.