Individual provider Active NPI

Juan Emilio Perez-Torres, MD

  • Family Medicine Physician
  • Humacao, PR
National Provider Identifier
1407862535
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13124 Issued in PR
Practice address
25 Ulises Martinez
Esquina Munoz Marin
Humacao, PR 00792
Phone
(787) 852-2551
Fax
(787) 285-1232
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13124 PR Primary

Addresses

Primary practice location

25 Ulises Martinez
Esquina Munoz Marin
Humacao, PR 00792

Mailing address

166 Calle Pelicano
Mansion del Mar
Toa Baja, PR 00949-3495
Phone (787) 380-1717

Other identifiers 2

IdentifierTypeStateIssuer
20121- PEOtherPRTRIPLE S HEALTH PLAN
9900469OtherPRHUMANA HEALTH PLAN

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
I20080408000151 PR Practitioner - Family Practice 7214014851 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Jul 12, 1999 Accepting new patients
Cossma Inc CurrentSince Jul 12, 1999 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407862535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 CALLE PELICANO",
            "address_2": "MANSION DEL MAR",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493495",
            "telephone_number": "787-380-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ULISES MARTINEZ",
            "address_2": "ESQUINA MUNOZ MARIN",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-852-2551",
            "fax_number": "787-285-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-TORRES",
        "first_name": "JUAN",
        "middle_name": "EMILIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "13124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S HEALTH PLAN",
            "identifier": "20121- PE",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLAN",
            "identifier": "9900469",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.