Mayra E. Brea Perez, M.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11616 Issued in PR

Practice address

L2 Calle 6
Villas de Rio Grande
Rio Grande, PR 00745-2825

Phone

(787) 888-8886

Fax

(787) 888-8887

NPI assigned

May 20, 2006

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

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1558315960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8731",
            "address_2": "PLAZA CAROLINA STA.",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009888731",
            "telephone_number": "787-761-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "L2 CALLE 6",
            "address_2": "VILLAS DE RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452825",
            "telephone_number": "787-888-8886",
            "fax_number": "787-888-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREA PEREZ",
        "first_name": "MAYRA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PR",
            "license": "11616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamilette Berrios Mota, PHD.
• Alma I Berrios Suarez, MD
• Nitza M Bertran, DOCTORATE
• Bio-Medical Applications of Puerto Rico, Inc. (Fresenius Medical Care Rio Grande Dialysis)
• Gladymar Bonilla Diaz, M.D
• Marta Brito Hernandez
• Adolfo David Calcano
• Elismarie Calero, MS-SLP
• Annmarie Calzada Ortiz
• Caparra Cardiology and Electrophisiology Center PSC

• Mental Health Counselor in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Mental Health Counselor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.