Individual provider Active NPI

Waldemar M Perez Arroyo, MD

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1639122401
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12251 Issued in PR
Practice address
314 Cumbres de Miradero
Mayaguez, PR 00682-7514
Phone
(787) 983-1619
NPI assigned
May 19, 2006
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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 12251 PR Primary

Addresses

Primary practice location

314 Cumbres de Miradero
Mayaguez, PR 00682-7514

Mailing address

314 Cumbres de Miradero
Mayaguez, PR 00682-7514
Phone (787) 983-1619

Other identifiers 1

IdentifierTypeStateIssuer
0089444OtherPRPROVIDER NUMBER

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
I20090129000622 PR Practitioner - General Practice 1850455254 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12251PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Yaguez, Inc. CurrentSince Feb 4, 2018 Accepting new patients
Clinica Yaguez, Inc CurrentSince Feb 4, 2018 Accepting new patients
Serv Emerg del Noroeste Past Accepting new patients

Locations

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

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, 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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1639122401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CUMBRES DE MIRADERO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006827514",
            "telephone_number": "787-983-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CUMBRES DE MIRADERO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006827514",
            "telephone_number": "787-983-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ARROYO",
        "first_name": "WALDEMAR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "0089444",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.