Marcelo R Perez-Montes MD PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2005-00424 Issued in NC

Legal business name

MARCELO R PEREZ-MONTES MD PA

Practice address

4459 Arendell St
Ste 1
Morehead City, NC 28557-2795

Phone

(252) 727-1709

Fax

(252) 727-1710

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Marcelo R Perez-Montes, M.D.NPI 1386647576

Title

President

Phone

(252) 727-1709

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PrimeCare Medical Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcelo R. Perez-Montes, M.D.

  • General Practice Physician
  • Apex, NC
  • NPI 1386647576
  NPD (past) Authorized official

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1508036096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4459 ARENDELL ST",
            "address_2": "STE 1",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572795",
            "telephone_number": "252-727-1709",
            "fax_number": "252-727-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4459 ARENDELL ST",
            "address_2": "STE 1",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572795",
            "telephone_number": "252-727-1709",
            "fax_number": "252-727-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELO R PEREZ-MONTES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ-MONTES",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-727-1709",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "2005-00424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900539",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimeCare Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Franklin Maides Jr., D.O.
• Sonya Mamoozadeh, DNP, APRN
• Adam Keith Manning
• Roxane Lisa Mannino, LMT
• Brandon Thomas Maples, DPT
• Rocio Marciales
• Mark Besen PHD Psychological Services PLLC
• Jeane Marsh, M.D.
• Dean R Marson, MD
• Angela H Martin

• General Practice Physician in Morehead City, NC
• Providers in Morehead City, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.