Performance Sports Med LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

PERFORMANCE SPORTS MED LLC

Practice address

60 Calle RMN Btnces N Ste 207
Mayaguez, PR 00680-6695

Phone

(787) 831-5831

NPI assigned

Dec 22, 2020

Last updated

Dec 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alejandra E Gonzalez Vega, MD

Title

President

Phone

(787) 831-5831

Specialties & licenses 1

Addresses

Tax ID family

Performance Sports Med LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Performance Sports Med LLC

  • Family Medicine Physician
  • Mayaguez, PR
  • NPI 1891682316
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sabdi Jesse Perez Torres, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Mayaguez, PR
  • NPI 1174646202

  Single Specialty

  NPD

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1477140655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230631",
            "telephone_number": "787-831-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CALLE RMN BTNCES N STE 207",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006806695",
            "telephone_number": "787-831-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPORTS MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ VEGA",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-831-5831",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis A Perez, DMD, MS.
• Naomi Alexandra Perez, MD
• Olga Silva Perez, LCDA
• Rosangela Perez
• Yarimell Perez, D.D.S.
• Performance Sports Med LLC
• Aisha Aracelis Perfume, OPTICIAN
• Periodoncia del Oeste LLC
• Fernando Pesante Acevedo, CORP.
• Jonathan Joel Pesante, DC

• Sports Medicine (Family Medicine) Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Sports Medicine (Family Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.