Individual provider Active NPI

Pedro Alejandro Perez Arrindelle, M.D

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1467653857
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12320 Issued in PR
Practice address
Cruz de Malta 1F-14
Urb Goldens Hills
Bayamon, PR 00000-0956
Phone
(787) 633-1380
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 12320 PR Primary

Addresses

Primary practice location

Cruz de Malta 1F-14
Urb Goldens Hills
Bayamon, PR 00000-0956

Mailing address

Cruz de Malta 1F-14
Urb Goldens Hills
Bayamon, PR 00000-0956
Phone (787) 633-1380

Other identifiers 1

IdentifierTypeStateIssuer
12320OtherPRNPR NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12320PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iniciativa Comunitaria, Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467653857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CRUZ DE MALTA 1F-14",
            "address_2": "URB GOLDENS HILLS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "000000956",
            "telephone_number": "787-633-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CRUZ DE MALTA 1F-14",
            "address_2": "URB GOLDENS HILLS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "000000956",
            "telephone_number": "787-633-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ARRINDELLE",
        "first_name": "PEDRO",
        "middle_name": "ALEJANDRO",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPR NUMBER",
            "identifier": "12320",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.