Active NPI
Juan J Fumero-Perez, MD
- Psychiatry Physician
- Guaynabo, PR
National Provider Identifier
1437366903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 9742
- Practice address
- 107 Ave. Ortegon
Caparra Gallery, Suite 208
Guaynabo, PR 00966-2519 - Phone
- (787) 722-5006
- Fax
- (787) 294-5250
- NPI assigned
- May 16, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 9742 | PR | Primary |
Addresses
Primary practice location
107 Ave. Ortegon
Caparra Gallery, Suite 208
Guaynabo, PR 00966-2519
Mailing address
107 Ave Ortegon Ste 208
Guaynabo, PR 00966-2518
Phone (787) 722-5006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 2, 2015 through Dec 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9742 | PR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1437366903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 AVE ORTEGON STE 208",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009662518",
"telephone_number": "787-722-5006",
"fax_number": "787-294-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 AVE. ORTEGON",
"address_2": "CAPARRA GALLERY, SUITE 208",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009662519",
"telephone_number": "787-722-5006",
"fax_number": "787-294-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUMERO-PEREZ",
"first_name": "JUAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "9742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.