Individual provider Active NPI

Nicanor Perez Laguillo, M.D.

  • General Practice Physician
  • Cabo Rojo, PR
National Provider Identifier
1619901402
Registry record updated Mar 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11149 Issued in PR
Practice address
Calle Hostos #47 Esquina Con Brau
Urb. El Cibao
Cabo Rojo, PR 00623
Phone
(787) 255-0200
Fax
(787) 255-0206
NPI assigned
Jul 10, 2006
Last updated
Mar 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2024

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 11149 PR Primary

Addresses

Primary practice location

Calle Hostos #47 Esquina Con Brau
Urb. El Cibao
Cabo Rojo, PR 00623

Mailing address

PO Box 1942
Mayaguez, PR 00681-1942
Phone (787) 255-0200

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
I20040414000465 PR Practitioner - General Practice 7416941158 Reassigns benefits to 2 organizations
Practice locations: Cabo Rojo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Calle Jose Mendez Cardona No
3 2ND Floor Suite 206
San Sebastian, PR 00685-0486
Phone (787) 896-1850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11149PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc CurrentSince Dec 30, 2025 Accepting new patients
Clinica Yaguez, Inc. CurrentSince May 3, 2019 Accepting new patients
Clinica Yaguez, Inc CurrentSince May 3, 2019 Accepting new patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc CurrentSince Dec 30, 2025 Accepting new patients
Southwest Health Corp. Past Accepting new patients
Southwest Health Corp Hospital Metropolitano San German PastSince Jul 5, 2020 Accepting new patients
Lares Medical Center Inc. Past Accepting new patients
Lares Medical Center Inc Past Accepting new patients
Cabo Rojo Medical Urgency Past Accepting new patients

Locations

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710028800000",
    "number": "1619901402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1942",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811942",
            "telephone_number": "787-255-0200",
            "fax_number": "787-897-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HOSTOS #47 ESQUINA CON BRAU",
            "address_2": "URB. EL CIBAO",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-255-0200",
            "fax_number": "787-255-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ LAGUILLO",
        "first_name": "NICANOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.