Individual provider Active NPI

Carlos Rafael Perez Sr., MD

  • Internal Medicine Physician
  • Bayamon, PR
National Provider Identifier
1669447256
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10324 Issued in PR
Practice address
Instituto San Pablo
66 Calle Sta Cruz Suite 304
Bayamon, PR 00961-0096
Phone
(787) 522-0836
Fax
(787) 522-0836
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10324 PR Primary

Addresses

Primary practice location

Instituto San Pablo
66 Calle Sta Cruz Suite 304
Bayamon, PR 00961-0096

Mailing address

Instituto San Pablo
66 Calle Sta Cruz Suite 304
Bayamon, PR 00961
Phone (787) 522-0836

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
I20070816000419 PR Practitioner - Internal Medicine 4385736610 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10324PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Coral Way Center Corp Internal Medicine CurrentSince Aug 11, 2025 Accepting new patients
Prima Imaging, PSC Internal Medicine Past Accepting new patients
Centro Medico Dr.Domingo Perez Ortiz Past Accepting new patients

Locations

1401 S Military Trl
Ste C
West Palm Beach, FL 33415
Phone (561) 346-5499

66 Calle Santa Cruz
Ste 304
Bayamon, PR 00961
Phone (561) 429-3122

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.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1669447256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INSTITUTO SAN PABLO",
            "address_2": "66 CALLE STA CRUZ SUITE 304",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-522-0836",
            "fax_number": "787-522-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INSTITUTO SAN PABLO",
            "address_2": "66 CALLE STA CRUZ SUITE 304",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009610096",
            "telephone_number": "787-522-0836",
            "fax_number": "787-522-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CARLOS",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.