Individual provider Active NPI

Dora De Lourdes Donate-Perez, M.D,

  • Obstetrics & Gynecology Physician
  • Carolina, PR
National Provider Identifier
1629161682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10697 Issued in PR
Practice address
65TH Infantry Ave
Upr Hospital
Carolina, PR 00983
Phone
(787) 757-1800
Fax
(787) 701-4490
NPI assigned
Oct 2, 2006
Sex
Female
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
Obstetrics & Gynecology Physician 207V00000X 10697 PR Primary

Addresses

Primary practice location

65TH Infantry Ave
Upr Hospital
Carolina, PR 00983

Mailing address

600 Ave Jesus T Pinero Apt 901
Parque de Loyola North Cond.
San Juan, PR 00918-4064
Phone (787) 757-1800

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
I20150804005379 PR Practitioner - Obstetrics/Gynecology 2062726037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Carr 3 K M
3 Ave 65 Infanteria
Carolina, PR 00984
Phone (787) 757-6330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Obstetrics & Gynecology CurrentSince Jun 23, 2015 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Jun 23, 2015 Accepting new patients
Servicios Medicos Universitarios Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629161682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 AVE JESUS T PINERO APT 901",
            "address_2": "PARQUE DE LOYOLA NORTH COND.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184064",
            "telephone_number": "787-757-1800",
            "fax_number": "787-701-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65TH INFANTRY AVE",
            "address_2": "UPR HOSPITAL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-757-1800",
            "fax_number": "787-701-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATE-PEREZ",
        "first_name": "DORA",
        "middle_name": "DE LOURDES",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "10697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.