Yelissa Perez Nieves, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17873 Issued in PR

Practice address

Carr 480 KM 3.2 Int, Bo. Cacao
Quebradillas, PR 00678

Phone

(787) 454-4288

NPI assigned

Oct 1, 2010

Last updated

Oct 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Servicios de Salud del Norte

  dba GRP CDT Villa Los Santos

  • General Practice Physician
  • Arecibo, PR
  • NPI 1912036286
  Medicare reassignment NPD
• Villa Los Santos Clinic, LLC

  • Primary Care Clinic/Center
  • Arecibo, PR
  • NPI 1861100869

  General Practice

  Medicare reassignment NPD
• Laboratorio Clinico Villa Los Santos

  • Clinical Medical Laboratory
  • Arecibo, PR
  • NPI 1073583514
  NPD
• Villa Los Santos Clinic, LLC

  • Clinic/Center
  • Arecibo, PR
  • NPI 1134993777
  NPD

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1528377041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780101",
            "telephone_number": "787-454-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 480 KM 3.2 INT, BO. CACAO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-454-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ NIEVES",
        "first_name": "YELISSA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Omar Pastrana
• Anabelle Paz Figueroa, MD
• Maribelle Paz Figueroa
• Peach State Ambulance of PR Inc
• Yesenia Perez Caraballo, NURSE
• Andres F Perez Rodriguez, M.D.
• Yarette Elizabeth Perez-Babin, PSY D
• Ingrid Janice Perez, MSW
• Katiria Perez
• Vivian Vanessa Perez, D.C.

• General Practice Physician in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.