Individual provider Active NPI

Nestor Amaury Perez, M.D.

  • General Practice Physician
  • Vega Baja, PR
National Provider Identifier
1609951227
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7606 Issued in PR
Practice address
57 Calle Prof Isabel C Perez
Vega Baja, PR 00693-4438
Phone
(787) 855-6425
Fax
(787) 855-0973
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 7606 PR Primary

Addresses

Primary practice location

57 Calle Prof Isabel C Perez
Vega Baja, PR 00693-4438

Mailing address

57 Calle Prof Isabel C Perez
Vega Baja, PR 00693-4438
Phone (787) 855-6425

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
I20141027000546 PR Practitioner - General Practice 2567683030 Practice locations: Vega Baja, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609951227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CALLE PROF ISABEL C PEREZ",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934438",
            "telephone_number": "787-855-6425",
            "fax_number": "787-855-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CALLE PROF ISABEL C PEREZ",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934438",
            "telephone_number": "787-855-6425",
            "fax_number": "787-855-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "NESTOR",
        "middle_name": "AMAURY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.