Active NPI
Aldo Perez Sr., M.D.
- Internal Medicine Physician
- Aguadilla, PR
National Provider Identifier
1407123391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 19227
- Practice address
- HC 4 Box 48293
Aguadilla, PR 00603-9795 - Phone
- (787) 479-6295
- NPI assigned
- Nov 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19227 | PR | Primary |
Addresses
Primary practice location
HC 4 Box 48293
Aguadilla, PR 00603-9795
Mailing address
HC 4 Box 48293
Aguadilla, PR 00603
Phone (787) 479-6295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28624 | Other | PR | HEALTH DEPARTMENT OF PUERTO RICO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160323001079 | PR | Order and Referring Only - Internal Medicine | 7618274382 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1407123391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 4 BOX 48293",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-479-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 4 BOX 48293",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006039795",
"telephone_number": "787-479-6295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ALDO",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-21",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "19227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH DEPARTMENT OF PUERTO RICO",
"identifier": "28624",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.