Individual provider Active NPI

Angie E Perez, BSN,CWSCN

  • Wound Care Registered Nurse
  • San Juan, PR
National Provider Identifier
1619299443
Registry record updated Feb 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
029337 Issued in PR
Practice address
1294 Calle Juan Baiz
2206
San Juan, PR 00924-4643
Phone
(787) 645-7568
NPI assigned
Feb 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 029337 PR
Wound Care Registered Nurse 163WW0000X 029337 PR Primary

Addresses

Primary practice location

1294 Calle Juan Baiz
2206
San Juan, PR 00924-4643

Mailing address

1294 Calle Juan Baiz
2206
San Juan, PR 00924-4643
Phone (787) 645-7568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
029337PRMDWound Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1266710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266710400000",
    "number": "1619299443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 CALLE JUAN BAIZ",
            "address_2": "2206",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244643",
            "telephone_number": "787-645-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 CALLE JUAN BAIZ",
            "address_2": "2206",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244643",
            "telephone_number": "787-645-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANGIE",
        "middle_name": "E",
        "credential": "BSN,CWSCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-21",
        "last_updated": "2010-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "029337",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "PR",
            "license": "029337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.