Active NPI
Maruxa Perez Viera, M.D.
- General Practice Physician
- Ponce, PR
National Provider Identifier
1639626831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19406
- Practice address
- 1074 Calle Ensueno
Buena Vista
Ponce, PR 00717-2603 - Phone
- (651) 373-6916
- NPI assigned
- Sep 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 19406 | PR | Primary |
Addresses
Primary practice location
1074 Calle Ensueno
Buena Vista
Ponce, PR 00717-2603
Mailing address
1074 Calle Ensueno
Buena Vista
Ponce, PR 00717-2603
Phone (651) 373-6916
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19406 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1639626831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1074 CALLE ENSUENO",
"address_2": "BUENA VISTA",
"city": "PONCE",
"state": "PR",
"postal_code": "007172603",
"telephone_number": "651-373-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1074 CALLE ENSUENO",
"address_2": "BUENA VISTA",
"city": "PONCE",
"state": "PR",
"postal_code": "007172603",
"telephone_number": "651-373-6916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ VIERA",
"first_name": "MARUXA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "19406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.