Individual provider Active NPI

Yesenia Lymaris Fuentes Perez, MD

  • Obstetrics & Gynecology Physician
  • Vega Baja, PR
National Provider Identifier
1487193041
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
23784 Issued in PR
Practice address
340 Calle Ashley
Urb. Vega Serena
Vega Baja, PR 00693-5878
Phone
(787) 621-3700
NPI assigned
Feb 15, 2017
Last updated
May 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 14343-I PR
Obstetrics & Gynecology Physician 207V00000X 23784 PR Primary

Addresses

Primary practice location

340 Calle Ashley
Urb. Vega Serena
Vega Baja, PR 00693-5878

Mailing address

340 Calle Ashley
Vega Baja, PR 00693-5878
Phone (787) 221-7183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805000173 PR Practitioner - Obstetrics/Gynecology 5597273136 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23784PRMDObstetrics & Gynecology Physician
14343-IPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mogic OB-GYN PSC Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients
Dorado Health Inc Past Accepting new patients
West OB-GYN PSC Obstetrics & Gynecology PastSince Jul 9, 2023 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1487193041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 CALLE ASHLEY",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935878",
            "telephone_number": "787-221-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 CALLE ASHLEY",
            "address_2": "URB. VEGA SERENA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935878",
            "telephone_number": "787-621-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES PEREZ",
        "first_name": "YESENIA",
        "middle_name": "LYMARIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "14343-I",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "23784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.