Active NPI
Xiomara Perez
- Registered Nurse
- Anasco, PR
National Provider Identifier
1417635871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 32117
- Practice address
- Car 109 KM 1.3
Anasco, PR 00610 - Phone
- (787) 438-2129
- NPI assigned
- Jul 6, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 32117 | PR | Primary |
Addresses
Primary practice location
Car 109 KM 1.3
Anasco, PR 00610
Mailing address
HC 58 Box 13527
Aguada, PR 00602-9893
Phone (787) 438-2129
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260315000156 | PR | Order and Referring Only - Nurse Practitioner | 7810470101 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32117 | PR | MD | Registered Nurse |
| 6020 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1417635871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 58 BOX 13527",
"city": "AGUADA",
"state": "PR",
"postal_code": "006029893",
"telephone_number": "787-438-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAR 109 KM 1.3",
"city": "ANASCO",
"state": "PR",
"postal_code": "00610",
"telephone_number": "787-438-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "XIOMARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2023-07-06",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "32117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anasco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.