Carlos D Perez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1655 Issued in PR

Practice address

958 Calle Cecilio Lebron
San Juan, PR 00924-3512

Phone

(787) 746-0757

Fax

(787) 746-0757

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1467426015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 CALLE CECILIO LEBRON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243512",
            "telephone_number": "787-746-0757",
            "fax_number": "787-746-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 CALLE CECILIO LEBRON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243512",
            "telephone_number": "787-746-0757",
            "fax_number": "787-746-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CARLOS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS PROVIDER ID",
            "identifier": "4141499PE",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aileen Perez, MSW
• Alberto Perez
• Angie E Perez, BSN,CWSCN
• Ashlie Ann Perez
• Beatriz Perez, R.N.
• Carmen Maria Perez, RD
• Cielomar Perez, MD
• Dalimarie Perez, SW
• Doel R. Perez, M.D.
• Enid Perez

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, 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 Mar 13, 2017; 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.