Active NPI
Jesus Ruben Perez, RDMS
- Diagnostic Ultrasound Physician
- Oakland, ME
National Provider Identifier
1508378795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 39227
- Practice address
- 22 Forest Ave
Oakland, ME 04963-5335 - Phone
- (207) 465-2384
- NPI assigned
- Oct 29, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 39227 | ME | Primary |
Addresses
Primary practice location
22 Forest Ave
Oakland, ME 04963-5335
Mailing address
22 Forest Ave
Oakland, ME 04963-5335
Phone (207) 465-2384
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39227 | ME | MD | Diagnostic Ultrasound Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509235200000",
"number": "1508378795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 FOREST AVE",
"city": "OAKLAND",
"state": "ME",
"postal_code": "049635335",
"telephone_number": "207-465-2384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 FOREST AVE",
"city": "OAKLAND",
"state": "ME",
"postal_code": "049635335",
"telephone_number": "207-465-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JESUS",
"middle_name": "RUBEN",
"name_prefix": "Mr.",
"credential": "RDMS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-29",
"last_updated": "2017-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "ME",
"license": "39227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.