Individual provider Active NPI

Jose Perez Fernandez, MD

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1437286788
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14443 Issued in PR
Practice address
Calle de Diego Num 28 Oeste
Mayaguez, PR 00681
Phone
(787) 265-3320
NPI assigned
Feb 27, 2007
Last updated
Mar 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14443 PR Primary

Addresses

Primary practice location

Calle de Diego Num 28 Oeste
Mayaguez, PR 00681

Mailing address

PO Box 1586
Mayaguez, PR 00681-1586
Phone (787) 265-3320

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
I20070621000429 PR Practitioner - General Practice 6204935950 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro de Curaciones San Peregrino IncGroup PAC ID 6406013291, 2 clinicians

Practice addresses (Care Compare)

Carr 402 KM 1
Anasco, PR 00610
Phone (787) 608-2512

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1749
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14443PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Curaciones San Peregrino Inc CurrentSince Jan 10, 2019 Accepting new patients
Hostos Medical Services Inc Past Accepting new patients
Centro Otologico de Puerto Rico CSP Past Accepting new patients
Otologics, P.S.C. Past Accepting new patients
Hostos Medical Services Inc General Practice Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1437286788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1586",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811586",
            "telephone_number": "787-265-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DE DIEGO NUM 28 OESTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00681",
            "telephone_number": "787-265-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ FERNANDEZ",
        "first_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.