Individual provider Active NPI

Emilio Alberto Perez de Leon Sr., MD

  • Surgery Physician
  • Bayamon, PR
National Provider Identifier
1538252267
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9039 Issued in PR
Practice address
Paseo San Pablo #100
Edif Arturo Cadillas Suite 201
Bayamon, PR 00961
Phone
(787) 269-6190
Fax
(787) 269-6130
NPI assigned
Oct 2, 2006
Last updated
Apr 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9039 PR Primary

Addresses

Primary practice location

Paseo San Pablo #100
Edif Arturo Cadillas Suite 201
Bayamon, PR 00961

Mailing address

Paseo San Pablo #100
Edif Arturo Cadillas Suite 201
Bayamon, PR 00961
Phone (787) 269-6190

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
I20080317000303 PR Practitioner - General Surgery 9537244462 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Puerto Rico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Edifiao Dr Arturo Cadilla
Suite 201
Bayamon, PR 00961
Phone (787) 778-8774

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)15
Mastectomy13
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9039PRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Am Acquisition I, LLC Past Accepting new patients
San Pablo Surgical Associates Surgery Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1538252267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO SAN PABLO #100",
            "address_2": "EDIF ARTURO CADILLAS SUITE 201",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-269-6190",
            "fax_number": "787-269-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO SAN PABLO #100",
            "address_2": "EDIF ARTURO CADILLAS SUITE 201",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-269-6190",
            "fax_number": "787-269-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DE LEON",
        "first_name": "EMILIO",
        "middle_name": "ALBERTO",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "9039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.