Neurospine PR LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NEUROSPINE PR LLC

Practice address

619 Ave San Luis
Arecibo, PR 00612-3637

Phone

(787) 650-7272

Fax

(787) 670-7255

NPI assigned

Jun 20, 2023

Last updated

Oct 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roberto Juan Perez, MD

Title

President

Phone

(787) 616-6894

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roberto Juan Perez Roman, M.D.

  • Neurological Surgery Physician
  • Arecibo, PR
  • NPI 1265895973
  Medicare reassignment NPD

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697846400000",
    "number": "1588349153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205-11 SANTANA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006125367",
            "telephone_number": "787-600-2964",
            "fax_number": "787-881-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 AVE SAN LUIS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123637",
            "telephone_number": "787-650-7272",
            "fax_number": "787-670-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPINE PR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-616-6894",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nefrologos Asociados del Norte, LLC
• Angel Manuel Negron Pantoja, MD
• Neuroactivo Memory Care Services LLC. (Neuroactivo Memory Care Center)
• Neurocentro del Norte, Inc.
• Neurology Consultant Services
• Oscar William Nevarez-Pomales, MD
• New Dimension Patient Services, Inc.
• New Dimension Patient Services, Inc.
• New Dimension Patient Services, Inc.
• Next Level Therapy Group LLC

• Neurological Surgery Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Neurological Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.