Mitzy Perez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2574 Issued in PR

Practice address

9 Calle Barcelo
Suite 301
Barranquitas, PR 00794-1779

Phone

(787) 857-3381

Fax

(787) 857-3381

NPI assigned

Feb 21, 2007

Sex

Female

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

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407991052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195063",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009195063",
            "telephone_number": "787-857-3381",
            "fax_number": "787-857-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CALLE BARCELO",
            "address_2": "SUITE 301",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941779",
            "telephone_number": "787-857-3381",
            "fax_number": "787-857-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MITZY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alba N. Padilla, B.S.N
• Angelica M Pagan Saez, BSN, RN
• Zahira Janisse Pagan, MSW
• Mariola Pedraza
• Ariana Perez-Rivera
• Perez&Alvardo Dental Office
• Pharmacare, Inc.
• Pier Mia Salud
• Lymari Plaza, RPH
• Norberto L Plaza, DMD

• General Practice Dentistry in Barranquitas, PR
• Providers in Barranquitas, 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 8, 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.