Carol Elaine Perez Mena, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

16344-I Issued in PR

Practice address

917 Ave Tito Castro
Ponce, PR 00716-4717

Phone

(787) 844-2080

NPI assigned

Apr 7, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1437844230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 BO ESPINAL",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022513",
            "telephone_number": "939-253-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 AVE TITO CASTRO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164717",
            "telephone_number": "787-844-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10011 Ave. Pedro Albizy u campos",
            "address_purpose": "LOCATION",
            "city": "guayama",
            "state": "PR",
            "postal_code": "00704",
            "country_code": "US",
            "telephone_number": "787-864-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ MENA",
        "first_name": "CAROL",
        "middle_name": "ELAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "16344-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Marie Perez Gonzalez
• Daneida M Perez Gonzalez, PH.D.
• Viviana Vanessa Perez Hernandez
• Eduardo Isaac Perez Luciano
• Carlos Perez Mandry
• Carlos Ismael Perez Naveira, MD
• Sasha Perez Negron, ATOL
• Rene Javier Perez Pacheco
• Lorianne Alejandra Perez Perez, DC
• Derek Perez Pieraldi, PSYD

• Student in an Organized Health Care Education/Training Program in Ponce, PR
• Providers in Ponce, PR by specialty
• Student in an Organized Health Care Education/Training Program in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.