Jose Julio Perez-Chacon, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14415 Issued in PR

Practice address

Carretera 723 KM 0.1
Aibonito, PR 00705

Phone

(787) 991-1790

Fax

(787) 991-1799

NPI assigned

Dec 15, 2005

Last updated

Aug 17, 2016By the provider in NPPES

Sex

Male

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

State licenses

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.

• Asomante Medical Group

  • General Practice Physician
  • Aibonito, PR
  • NPI 1669680054
  Medicare reassignment

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1558346288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360353",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360353",
            "telephone_number": "787-382-7733",
            "fax_number": "787-991-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 723 KM 0.1",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-991-1790",
            "fax_number": "787-991-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-CHACON",
        "first_name": "JOSE",
        "middle_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric & Emergency Medical Services P.S.C.
• Pediatric Pro & Medicine LLC
• Ivette Pena
• Julio A Perez Briones
• Lizzette D Perez Pabon, MSW
• Pedro Perez
• Pharmacare, Inc (Farmacia Rey #14)
• Pharmacy VCG, LLC (Pharmacy VCG d/b/a FarMedical)
• Jose Antonio Pietri, MD
• Podiatry and Diabetic Care Center Inc.

• General Practice Physician in Aibonito, PR
• Providers in Aibonito, 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 Aug 17, 2016; 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.